OrganizationActive
Awakening Behavioral Health, LLC
NPI 1619412046 · Substance Abuse Rehabilitation Facility · Bluffdale, UT
Provider details
- NPI number
- 1619412046
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Awakening Behavioral Health, LLC
- Organization subpart
- Yes
- Authorized official
- Kerrylynn Baca-Pelphrey, Cco, Exec Dir Payor Relations(801) 658-9646
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2973 W 13800 S
Bluffdale, UT 84065-8202
Phone: (801) 545-0406
Street-level locationGet directions
Mailing address
2973 W 13800 S
Bluffdale, UT 84065-8202
Other names (DBA / former)
- Doing business as
- Renaissance Ranch Bluffdale Men'S Program, LLC
- Doing business as
- Renaissance Ranch Treatment Centers
- Doing business as
- Renaissance Ranch Treatment Centers
Registry dates
- Enumerated
- 2016-12-20
- Last updated
- 2020-03-30
- Certified
- 2020-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.