NPIMap

Organization Active NPI

Renu 2 LLC

  • Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1073261889
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RENU 2 LLC
Practice address
8010 Blair Mill Way Apt 207E
Silver Spring, MD 20910-6805
Phone
(202) 494-6119
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Esonija Shavon FulghamNPI 1346674140
Title
Owner
Phone
(202) 494-6119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8010 Blair Mill Way Apt 207E
Silver Spring, MD 20910-6805

Mailing address

8010 Blair Mill Way Apt 207E
Silver Spring, MD 20910-6805

Other names 1

  • RENU 2 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1073261889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 BLAIR MILL WAY APT 207E",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 BLAIR MILL WAY APT 207E",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106805",
            "telephone_number": "202-494-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "FULGHAM",
        "authorized_official_first_name": "ESONIJA",
        "authorized_official_middle_name": "SHAVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-494-6119"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENU 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.