RENAISSANCE ADHC @ FOOTE ST NPI 1073983763

NPI Information

NPI: 1073983763
Provider Name: RENAISSANCE ADHC @ FOOTE ST
Classification: Clinic/Center - 261QA0600X
Specialization: Adult Day Care
Entity Type: Organization
Other Name: RENAISSANCE ADULT DAY HEALTHCARE CENTER AT FOOTE ST
Address: 5214 FOOTE ST NE
WASHINGTON, DC
ZIP 20019
Phone: (240) 506-6846

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NPI Details

RENAISSANCE ADHC @ FOOTE ST is an adult day care clinic center in Washington, DC. RENAISSANCE ADHC @ FOOTE ST NPI is 1073983763. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Renaissance Adult Day Healthcare Center At Foote St.

The provider's business location address is:

5214 FOOTE ST NE
WASHINGTON, DC
ZIP 20019-657
Phone: (240) 506-6846

The provider's authorized official is Valerya Lera Balannik .
The authorized official title is Partner and has the following contact phone number (240) 506-6846.

The enumeration date for this NPI number is 10/7/2015 and was last updated on 6/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health			No
2	261QA0600X	Clinic/Center	Adult Day Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	013078055	MEDICAID	DISTRICT OF COLUMBIA
2	078520900	MEDICAID	DISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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