Renewed Horizons, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

RHA-5370 Issued in ID

Legal business name

RENEWED HORIZONS, LLC

Practice address

8252 N Wayne Dr
Hayden, ID 83835-5029

Phone

(208) 963-5645

NPI assigned

Oct 18, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Scott Gordon Hansen

Title

Administrator

Phone

(208) 963-5645

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Renewed Horizons LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Renewed Horizons, LLC

  • Community/Behavioral Health Agency
  • Hayden, ID
  • NPI 1235907973
  NPD tax ID
• Renewed Horizons, LLC

  • Developmentally Disabled Services Day Training Agency
  • Hayden, ID
  • NPI 1396141305
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1346791944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8252 N WAYNE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355029",
            "telephone_number": "208-963-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8252 N WAYNE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355029",
            "telephone_number": "208-963-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HORIZONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-963-5645",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ID",
            "license": "RHA-5370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHA-5370",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramsey Dental Group PLLC
• Lady-Jean M Ramsey, DMD
• Kateri Picard Ray
• Jacob C Reedy, NP
• Renewed Horizons, LLC
• Renewed Horizons, LLC
• Restore Teletherapy, LLC
• Restored Health PLLC
• Beven Jean Rich, ATC, MT
• Deanna Marie Richmond, MA, LPC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hayden, ID
• Providers in Hayden, ID by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.