RENAISSANCE ADDICTION SERVICES, INC. (NPI# 1699197053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699197053 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE ADDICTION SERVICES, INC. |
| Practice Address |
920 Harlem Rd West Seneca NY 14224-1008 |
| Mailing Address |
Po Box 643 West Seneca NY 14224-0643 |
| Practice Telephone | 7168279462 |
| Practice Fax Number | 7168276465 |
| Mailing Telephone | 7168276432 |
| Mailing Fax Number | 7168279565 |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2014-01-20 |
| Authorized Official Name | MRS. ROBIN ANN CLOUDEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7168279462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
E140311830 | NY | Residential Treatment Facilities |
| Street Address |
920 HARLEM RD |
| City | WEST SENECA |
| State | NY |
| Zip Code | 14224-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
| 1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
| 1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
| 1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
| 1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
| 1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
| 1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
| 1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
| 1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
| 1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
| Find all providers in zip 14224 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003348939 | Start Where You Stand, Inc. | Substance Abuse Rehabilitation Facility | 14502 123rd Ave, Private, South Ozone Park, NY 11436-1618 | 2017-03-30 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1861664617 | Lasalle School | Substance Abuse Rehabilitation Facility | 391 Western Ave, Albany, NY 12203-1491 | 2008-04-01 |
| 1245352525 | Daytop Village, Inc. | Substance Abuse Rehabilitation Facility | 220 Fox Hollow Road, Rhinebeck, NY 12572 | 2007-04-06 |
| 1598802514 | Berkshire Farm Center and Services for Youth | Substance Abuse Rehabilitation Facility | 13640 Rte 22, Canaan, NY 12029 | 2007-01-31 |
| 1255482535 | Prcd, Inc. | Substance Abuse Rehabilitation Facility | 2654 Ridgeway Ave, Rochester, NY 14626-4209 | 2007-01-15 |
| 1891896767 | Can/am Youth Services, Inc. | Substance Abuse Rehabilitation Facility | 100 County Route 43, Massena, NY 13662-4104 | 2006-09-25 |
| 1326690611 | North Country Freedom Homes, Inc. | Substance Abuse Rehabilitation Facility | 25 Dies St, Canton, NY 13617-1306 | 2019-07-16 |
| 1508317561 | Ymca of Greater Ny | Substance Abuse Rehabilitation Facility | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2016-10-14 |
| 1568910263 | Gloria Espinoza Rn | Substance Abuse Rehabilitation Facility | 3911 Richmond Ave, Staten Island, NY 10312-5110 | 2016-09-12 |
| Find all providers with the same taxonomy | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
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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.