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RENAISSANCE COMMUNITY HOMES NPI 1730205675


NPI Information

NPI: 1730205675
Provider Name: RENAISSANCE COMMUNITY HOMES
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 23D2218194

Address:
1548 W MAUMEE STREET
SUITE C
ADRIAN, MI
ZIP 49221
Phone: (734) 439-0464
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RENAISSANCE COMMUNITY HOMES is a community based residential treatment facility mental illness in Adrian, MI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. RENAISSANCE COMMUNITY HOMES NPI is 1730205675. The provider is registered as an organization entity type.

The provider's business location address is:

1548 W MAUMEE STREET
SUITE C
ADRIAN, MI
ZIP 49221
Phone: (734) 439-0464
Fax: (517) 438-8392

The provider's authorized official is Pamela Ann Bell .
The authorized official title is Chief Financial Officer and has the following contact phone number (734) 340-5707.

The CLIA number assigned to this NPI record is 23D2218194 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 11/8/2023.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 5/5/2024

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