OrganizationActive
Renaissance Ranch Heyburn
NPI 1114692373 · Substance Abuse Rehabilitation Facility · Heyburn, ID
Provider details
- NPI number
- 1114692373
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tyson Dixon, Owner(801) 860-0118
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
312 S 950 W
Heyburn, ID 83336-9765
Phone: (855) 736-7262
Street-level locationGet directions
Mailing address
312 S 950 W
Heyburn, ID 83336-9765
Registry dates
- Enumerated
- 2021-08-10
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.