RENAISSANCE HEALTHCARE LLC (NPI# 1598950370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598950370 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE HEALTHCARE LLC |
| Practice Address |
3321 Youree Dr Suite 100 Shreveport LA 71105-2123 |
| Mailing Address |
251 Florida St Suite 201 Baton Rouge LA 70801-1703 |
| Practice Telephone | 3188686033 |
| Practice Fax Number | 3188686011 |
| Mailing Telephone | 2253875585 |
| Mailing Fax Number | 2253875584 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |
| Authorized Official Name | MR. JAMES A JOUBERT JR. (MEMBER/MANAGER) |
| Authorized Official Telephone | 2253875585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457904310 | Renaissance Healthcare LLC | Custodial Care Facility | 419 Airport Rd, Griffin, GA 30224-4834 | 2019-07-19 |
| 1548501539 | Renaissance Healthcare LLC | Home Health | 6422 E Main St Ste 205, Reynoldsburg, OH 43068-2302 | 2013-03-15 |
| 1235311192 | Renaissance Healthcare LLC | Clinic/Center | 801 Shreveport Rd, Minden, LA 71055-3829 | 2007-12-03 |
| Street Address |
3321 YOUREE DR SUITE 100 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543869 | Sincere Client Care | Counselor | 3321 Youree Dr, Suite J, Shreveport, LA 71105-2123 | 2016-04-05 |
| 1689857765 | Sincere Client Care Service | Home Health | 3321 Youree Dr, Suite J, Shreveport, LA 71105-2123 | 2007-12-11 |
| 1396928511 | Sincere Client Care Service | Home Health | 3321 Youree Dr, Suite J, Shreveport, LA 71105-2123 | 2007-12-11 |
| 1770766859 | Sincere Client Care Service | Home Health | 3321 Youree Dr, Suite J, Shreveport, LA 71105-2123 | 2007-12-11 |
| 1497938575 | Sincere Client Care Service | Home Health | 3321 Youree Dr, Suite J, Shreveport, LA 71105-2123 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019156 | Johnson Behavioral Health Group | Clinic/Center | 4830 Line Ave Ste 302, Shreveport, LA 71106-1530 | 2020-10-02 |
| 1104479799 | Families First Counseling and Wellness, LLC | Clinic/Center | 2020 Hollywood Ave, Shreveport, LA 71108-3920 | 2019-07-22 |
| 1174087530 | Jl Counseling | Clinic/Center | 1545 Line Ave Ste 320e, Shreveport, LA 71101-4630 | 2019-01-29 |
| 1568948396 | Scere's Mediation & Counseling Services | Clinic/Center | 610 Marshall St Ste 625, Shreveport, LA 71101-3652 | 2018-07-16 |
| 1700384831 | Zodiac Holding Group | Clinic/Center | 3611 Greenway Pl, Shreveport, LA 71105-2011 | 2018-01-23 |
| 1235539644 | Envision Counseling Services LLC | Clinic/Center | 7505 Pines Rd Ste 1230, Shreveport, LA 71129-3900 | 2014-09-04 |
| 1457773657 | Comprehensive Assessments, Inc. | Clinic/Center | 3010 Knight St, Suite 125, Shreveport, LA 71105-2553 | 2014-01-08 |
| 1366687527 | Northwest Cmhc, L.L.C. | Clinic/Center | 2121 Fairfield Ave, Suite 210/220, Shreveport, LA 71104-2057 | 2008-12-02 |
| 1568534857 | Community Enrichment Programs LLC | Clinic/Center | 842 Margaret Pl, Shreveport, LA 71101-4521 | 2006-11-14 |
| 1427137074 | Rehabilitation Services of Northwest Louisiana, LLC | Clinic/Center | 2525 Youree Dr, Suite 110, Shreveport, LA 71104-3600 | 2006-11-03 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.