Renaissance Ranch
NPI 1194169359 · Substance Use Disorder Rehabilitation Clinic/Center · Idaho Falls, ID
Renaissance Ranch is a Substance Use Disorder Rehabilitation Clinic/Center organization in Idaho Falls, ID (NPI 1194169359).
Provider details
- NPI number
- 1194169359
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Pinegar, Executive Director(208) 522-6155
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2013-04-18
- Last updated
- 2013-04-18
Frequently asked questions
- What is Renaissance Ranch's NPI number?
- Renaissance Ranch's National Provider Identifier (NPI) is 1194169359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renaissance Ranch?
- Renaissance Ranch is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Renaissance Ranch located?
- Renaissance Ranch's practice location on file with NPPES is 1165 S Utah Ave, Idaho Falls, ID 83402-3321.
- What is Renaissance Ranch's phone number?
- The practice phone number listed in the NPPES registry for Renaissance Ranch is (208) 522-6155.
- Who is the authorized official for Renaissance Ranch?
- The authorized official listed on Renaissance Ranch's NPPES record is David Pinegar, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renaissance Ranch's NPI active?
- Yes — Renaissance Ranch's NPI (1194169359) is active in the NPPES registry as of the last update on 2013-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.