RENAISSANCE HEALTHCARE, LLC


Address: 1302 Eddington Dr, Upper Marlboro, MD 20774-1942
Phone: 2404257428

RENAISSANCE HEALTHCARE, LLC (NPI# 1811487382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811487382
Entity Type Organization
Organization Name RENAISSANCE HEALTHCARE, LLC
Practice Address 1302 Eddington Dr
Upper Marlboro
MD 20774-1942
Mailing Address 1302 Eddington Dr.
Upper Marlboro
MD 20774-1942
Practice Telephone 2404257428
Practice Fax Number 8665316484
Mailing Telephone 2404257428
Mailing Fax Number 8665316484
Enumeration Date 2018-05-10
Last Update Date 2018-05-10
Authorized Official Name JANE AHWOREGBA SAMONS (DON, CEO)
Authorized Official Telephone 2404257428
Authorized Official Credential RN, BSN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251J00000X Nursing Care Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215159082 Renaissance Healthcare, LLC Clinic/Center 251 Florida St, Suite 201, Baton Rouge, LA 70801-1703 2007-05-02

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities RENAISSANCE HEALTHCARE, LLC 423 N Main St, Jennings, LA 70546-5343

Office Location

Street Address 1302 EDDINGTON DR
City UPPER MARLBORO
State MD
Zip Code 20774-1942

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922637156 Marie Charlotte Teboutsou Tsodzou Nurse Practitioner 9317 Lavall Drive, Upper Marlboro, MD 20774 2020-04-08
1467093443 Richland Support Services Corp. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11551 Joyceton Drive, Upper Marlboro, MD 20774 2019-10-01
1770134124 Alan L Kahn Counselor 301 Largo Rd., Largo, MD 20774 2019-09-26
1619522034 Francisca Ifeoma Alintah Registered Nurse 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 2019-08-02
1609337146 Crystal Osuchukwu Counselor 1300 Mccormick Dr, Upper Marlboro, MD 20774 2019-03-27
1861968489 Collaborative Concepts of Maryland Counselor 1400 Mercantile Lane, Suite 208, Largo, MD 20774 2018-10-22
1073097622 Triple Angels Homecare Services, Inc. In Home Supportive Care 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 2018-09-19
1922589654 Optimum Resource Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 2018-08-21
1811475254 Kolawole Richard Olatunde Home Health Aide 11405 Villa Court, Upper Marlboro, MD 20774 2018-07-28
1548747769 Tiara Williams Counselor 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 2018-07-20
Find all providers in zip 20774

Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184129298 Grace Line Nursing LLC Nursing Care 15445 Depot Ln, Upper Marlboro, MD 20772-3157 2018-03-29
1841702065 Sunshine Health Staffing LLC Nursing Care 4504 Lord Loudoun Ct, Upper Marlboro, MD 20772-5946 2017-10-27
1801315080 Hope Academy & Nursing Services Nursing Care 14101 Christian Street, Upper Marlboro, MD 20772 2017-09-19
1518345610 Cls Nursing Services Nursing Care 6531 Dower House Rd, Upper Marlboro, MD 20772-3802 2015-05-11
1235543034 Supreme Healthcare Services, LLC Nursing Care 7608 Georgian Dr, Upper Marlboro, MD 20772-4496 2014-06-19
1073954368 Ugo Oluchi Azuewah Nursing Care 951 Dunloring Ct, Upper Marlboro, MD 20774-5780 2013-07-15
1336585553 1st Choice Home Health Services Nursing Care 1414 Canadien Geese Ct, Upper Marlboro, MD 20774-7062 2013-05-14
1487946117 Cornerstone Care Nursing Services Agency Nursing Care 11504 Clematis Ct, Upper Marlboro, MD 20774-9307 2011-05-13
1366673394 Sunny Nursing Care Services Nursing Care 11301 Kettering Ter, Upper Marlboro, MD 20774-1567 2009-08-07
1003063074 Vision Healthcare Inc Nursing Care 410 Ashaway Ln, Upper Marlboro, MD 20774-8778 2008-08-21
Find all providers in UPPER MARLBORO

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City UPPER MARLBORO
Zip Code 20774

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Dataset Information

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.

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