OrganizationActive
Renew Out-Patient & Residential Treatment Services LLC
NPI 1740670785 · Community/Behavioral Health Agency · Ivel, KY
Provider details
- NPI number
- 1740670785
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Alcohol & Drug Abuse Prevention & Treatment Specialties
- Organization subpart
- Yes
- Authorized official
- Eugene Sisco, Managing Member(606) 653-1505
- License
- 800139 (KY)
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
4963 US Highway 23 S
Suite 121
Ivel, KY 41642-9067
Phone: (606) 653-1505
Street-level locationGet directions
Mailing address
Po Box 678
Betsy Layne, KY 41605-0678
Other names (DBA / former)
- Doing business as
- Renew Behavioral Health
Registry dates
- Enumerated
- 2015-01-29
- Last updated
- 2015-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.