RENAISSANCE RANCH OUTPATIENT FARMINGTON (NPI# 1780129924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780129924 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE RANCH OUTPATIENT FARMINGTON |
| Practice Address |
1466 N Highway 89 Suite 230 Farmington UT 84025-2738 |
| Mailing Address |
2973 West 13800 South Bluffdale UT 84070 |
| Practice Telephone | 8015450406 |
| Mailing Telephone | 8018567836 |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | WENDY PATTON (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 8018567836 |
| Is Organization Subpart | Y |
| Parent Organization Name | AWAKENING BEHAVIORAL HEALTH |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
37145 | UT | Ambulatory Health Care Facilities |
| Street Address |
1466 N HIGHWAY 89 SUITE 230 |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508925033 | Benjamin David Leaver | Dentist | 1466 N Highway 89, Suite 200, Farmington, UT 84025-2738 | 2006-12-08 |
| 1356598635 | Derai Anita Paul | Social Worker | 1466 N Highway 89, Suite 220, Farmington, UT 84025-2738 | 2008-08-19 |
| 1821203381 | Robin Renee Williams | Social Worker | 1466 N Highway 89, Suite 220, Farmington, UT 84025-2738 | 2007-05-10 |
| 1558573923 | Kenneth Bruce Folsom | Marriage & Family Therapist | 1466 N Highway 89, Farmington, UT 84025-2738 | 2007-05-05 |
| 1053438887 | Shelley Ann Smedley | Social Worker | 1466 N Highway 89, Farmington, UT 84025-2738 | 2007-03-25 |
| 1952445819 | Davis Counseling Center, Inc. | Counselor | 1466 N Highway 89, Ste 230, Farmington, UT 84025-2738 | 2007-02-16 |
| 1982759908 | Brad K. Simmons | Social Worker | 1466 N Highway 89, Suite 220, Farmington, UT 84025-2738 | 2007-01-23 |
| 1396896858 | Karson Sateki Kinikini | Counselor | 1466 N Highway 89, Suite 220, Farmington, UT 84025-2738 | 2007-01-12 |
| 1417007311 | Lisa Bradford | Social Worker | 1466 N Highway 89, Suite 220, Farmington, UT 84025-2738 | 2007-01-11 |
| 1376609552 | Scott D Hess | Marriage & Family Therapist | 1466 N Highway 89, Suite 220, Farmington, UT 84025-2738 | 2006-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144788514 | Lifechoices LLC | Clinic/Center | 417 E Main St Ste A, Farmington, NM 87401-2752 | 2019-03-05 |
| 1023176054 | Southeast Missouri Behavioral Health | Clinic/Center | 5536 State Highway 32, Po Drawer 459, Farmington, MO 63640-7357 | 2006-12-04 |
| 1124101464 | Evergreen Behavioral Services | Clinic/Center | 131 Franklin Health Commons, Suite A Mt Blue Health Center, Farmington, ME 04938 | 2006-10-23 |
| 1902251507 | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | Clinic/Center | 560 W Pine St, Farmington, MO 63640-1426 | 2016-05-02 |
| 1841645801 | Southeast Missouri Behavioral Health | Clinic/Center | 5536 Hwy 32, Farmington, MO 63640-7357 | 2016-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943569 | Skull Valley Health Care | Clinic/Center | 1929 N Aaron Dr, Tooele, UT 84074-8112 | 2020-08-18 |
| 1003427923 | Painted Desert Recovery LLC | Clinic/Center | 1947 S 2800 E, New Harmony, UT 84757-5115 | 2020-08-13 |
| 1437780673 | Beecon Recovery | Clinic/Center | 60 S Main St Ste B0001, Brigham City, UT 84302-6795 | 2020-01-27 |
| 1124666870 | One Voice Recovery | Clinic/Center | 1400 S 1100 E, Salt Lake City, UT 84105-2435 | 2019-12-12 |
| 1992343834 | Avante Recovery Center, LLC | Clinic/Center | 848 E 1475 N, Lehi, UT 84043-3568 | 2019-12-11 |
| 1467912139 | Infinite Arches LLC | Clinic/Center | 136 25th St, Ogden, UT 84401-1302 | 2019-03-20 |
| 1669952958 | Utah Harm Reduction Coalition | Clinic/Center | 91 E 7200 S, Midvale, UT 84047-1531 | 2018-08-16 |
| 1871016840 | Breakaway Recovery Center Murray, LLC | Clinic/Center | 5296 S Commerce Dr Ste 204, Murray, UT 84107-5393 | 2017-07-21 |
| 1528580180 | Brighton House LLC | Clinic/Center | 2945 E Robidoux Rd, Sandy, UT 84093-1128 | 2017-07-14 |
| 1316392897 | Nuway Recovery, LLC | Clinic/Center | 4925 S 900 E, Salt Lake City, UT 84117-5784 | 2016-05-03 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
Please comment or provide details below to improve the information on RENAISSANCE RANCH OUTPATIENT FARMINGTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.