RENEW RECOVERY, LLC (NPI# 1316441975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316441975 |
Entity Type | Organization |
Organization Name | RENEW RECOVERY, LLC |
Practice Address |
599 Freedom Park Dr Crestview Hills KY 41017 |
Mailing Address |
599 Freedom Park Dr Crestview Hills KY 41017-5130 |
Practice Telephone | 5027496249 |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-06-08 |
Authorized Official Name | WILLIAM DAWSON (COO) |
Authorized Official Telephone | 5027496249 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750779500 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 1154 Lexington Rd., Building C, Suite A, Georgetown, KY 40324-9797 | 2015-01-02 |
1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
1952851859 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 9702 Stonestreet Rd, Suite 120, Louisville, KY 40272 | 2016-10-04 |
Street Address |
599 FREEDOM PARK DR |
City | CRESTVIEW HILLS |
State | KY |
Zip Code | 41017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649225061 | Alexis M Mai | Dentist | 599 Freedom Park Dr, Crestview Hills, KY 41017-5130 | 2006-05-24 |
1861844912 | Marilyn Henry | Dentist | 599 Freedom Park Dr, Crestview Hills, KY 41017-5130 | 2016-07-12 |
1487832598 | Janet Linn Black | Counselor | 599 Freedom Park Dr, Crestview Hills, KY 41017-5130 | 2008-01-31 |
1518906619 | George Kevin Thompson | Dentist | 599 Freedom Park Dr, Ste 100, Crestview Hills, KY 41017-5130 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
Find all providers in zip 41017 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437676921 | Applegate Health Services, Inc | Clinic/Center | 565 Centre View Blvd, Crestview Hills, KY 41017-3444 | 2017-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447858642 | Salem Health Care Group LLC | Clinic/Center | 501 North Hayden Avenue, Salem, KY 42028 | 2020-10-12 |
1053934836 | Roaring Brook LLC | Clinic/Center | 600 Perimeter Dr Ste 125, Lexington, KY 40517-4296 | 2020-05-27 |
1902442585 | Lake Cumberland Recovery, Inc | Clinic/Center | 8294 S Highway 27, Burnside, KY 42519-9412 | 2019-11-19 |
1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
1194295089 | Freedom Bridge To Recovery LLC | Clinic/Center | 1307 Magnolia St, Bowling Green, KY 42104-3050 | 2018-12-04 |
1619450186 | Pax House Inc. | Clinic/Center | 2305 Hurstbourne Village Dr Ste 600, Louisville, KY 40299-2875 | 2018-09-11 |
1063999761 | Landmark Recovery Outpatient Services LLC | Clinic/Center | 4112 Fern Valley Rd Ste B, Louisville, KY 40219-1973 | 2018-07-25 |
1144723453 | Rose of Sharon House | Clinic/Center | 865 W Shelby St, Junction City, KY 40440-8502 | 2018-03-13 |
1477062487 | New Legacy Recovery LLC | Clinic/Center | 1510 Newtown Pike Ste 120, Lexington, KY 40511-1255 | 2017-09-21 |
1710426960 | The Liberty Ranch Rehabilitation Center | Clinic/Center | 2735 Ky Highway 501, Kings Mountain, KY 40442-9761 | 2017-02-21 |
Find all providers with the same taxonomy |
City | CRESTVIEW HILLS |
Zip Code | 41017 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.