RENAISSANCE SUPPORTIVE SERVICES INC. NPI 1457596678

NPI Information

  • NPI: 1457596678
  • Provider Name: RENAISSANCE SUPPORTIVE SERVICES INC.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 10213 RISING MIST LN
    JACKSONVILLE, FL
    ZIP 32221
  • Phone: (904) 786-6486

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NPI Details

RENAISSANCE SUPPORTIVE SERVICES INC. is a community behavioral health in Jacksonville, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. RENAISSANCE SUPPORTIVE SERVICES INC. NPI is 1457596678. The provider is registered as an organization entity type.

The provider's business location address is:

10213 RISING MIST LN
JACKSONVILLE, FL
ZIP 32221-006
Phone: (904) 786-6486

The provider's authorized official is Latrese Curry Harrison .
The authorized official title is Owner and has the following contact phone number (904) 786-6486.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 12/3/2008.

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
1251S00000XCommunity/Behavioral Health690575796FLORIDAYes

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
1690575796MEDICAIDFLORIDA

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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