RENAISSANCE WELLNESS (NPI# 1356907182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356907182 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE WELLNESS |
| Practice Address |
751 Thimble Shoals Blvd Ste M Newport News VA 23606-3563 |
| Practice Telephone | 7577822279 |
| Practice Fax Number | 7577822313 |
| Mailing Telephone | 7577822279 |
| Mailing Fax Number | 7577822313 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | MS. KIMBERLY ROYSTER (CEO/DIRECTOR) |
| Authorized Official Telephone | 7577822279 |
| Authorized Official Credential | PSY.D; PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | RENAISSANCE WELLNESS CONSULTING LIMITED LIABILITY COMPANY | 164 Woodworth Ave., Yonkers, Ny 10701 |
| Washington State Corporations | RENAISSANCE WELLNESS LLC | 7203 E Nora Ave, Bldg C Ste 1, Spokane, WA 99212 |
| Street Address |
751 THIMBLE SHOALS BLVD STE M |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493582 | Therapeutic Services of Virginia | Community/Behavioral Health | 101 Deep Creek Rd, Newport News, VA 23606-2219 | 2020-09-25 |
| 1124684253 | Mindful Journey Therapeutic Services LLC | Community/Behavioral Health | 211 Old Bridge Ct, Newport News, VA 23608-5025 | 2019-05-14 |
| 1306301023 | Exceptional Care and Consultation Services, LLC | Community/Behavioral Health | 223 Denbigh Blvd, Newport News, VA 23608-3367 | 2019-02-06 |
| 1720550726 | True Heart Counseling LLC | Community/Behavioral Health | 813 Forrest Dr Ste B, Newport News, VA 23606-4513 | 2019-01-02 |
| 1093223968 | Tidewater Counseling Group, LLC | Community/Behavioral Health | 12695 Mcmanus Blvd Bldg 7b, Newport News, VA 23602-4476 | 2018-01-13 |
| 1386159150 | Each One Teach One, LLC | Community/Behavioral Health | 12388 Warwick Blvd Ste 212, Newport News, VA 23606-3857 | 2017-12-02 |
| 1801332606 | Paramount Counseling Inc | Community/Behavioral Health | 105 Nat Turner Blvd S, Newport News, VA 23606-2898 | 2017-01-17 |
| 1881136059 | Looseleaf Clinical Consulting | Community/Behavioral Health | 685 Turnberry Blvd, #14774, Newport News, VA 23608-0290 | 2016-11-04 |
| 1255885323 | Holistic Services LLC | Community/Behavioral Health | 777 J Clyde Morris Blvd, Newport News, VA 23601-1513 | 2016-08-06 |
| 1124471750 | Children of The Kingdom Family Support Srrvices LLC | Community/Behavioral Health | 610 Thimble Shoals Blvd Ste 201d, Newport News, VA 23606-4510 | 2016-07-19 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
Please comment or provide details below to improve the information on RENAISSANCE WELLNESS.
| 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.