RENAISSANCE ADHC LLC NPI 1831590355

NPI Information

NPI: 1831590355
Provider Name: RENAISSANCE ADHC, LLC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 41D2215560

Address:
1090 EDDY ST
PROVIDENCE, RI
ZIP 02905
Phone: (401) 640-7648
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RENAISSANCE ADHC, LLC is an adult day care clinic center in Providence, RI. RENAISSANCE ADHC, LLC NPI is 1831590355. The provider is registered as an organization entity type.

The provider's business location address is:

1090 EDDY ST
PROVIDENCE, RI
ZIP 02905-607
Phone: (401) 640-7648

The provider's authorized official is Erny Francisco .
The authorized official title is Vice-president and has the following contact phone number (401) 640-7648.

The CLIA number assigned to this NPI record is 41D2215560 - other - adult day hlth cntr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2014 and was last updated on 6/4/2015.

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	261QA0600X	Clinic/Center	Adult Day Care			Yes

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: 4/28/2024

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