NPIMap

Organization Active NPI

Renaissance Healthcare Group

Doing business as Pasadena Villa Smoky Mountain Lodge

  • Psychiatric Residential Treatment Facility
  • Sevierville, TN
National Provider Identifier
1073753059
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
L000000020924 Issued in TN
Legal business name
RENAISSANCE HEALTHCARE GROUP
Doing business as
Pasadena Villa Smoky Mountain Lodge
Practice address
3889 Wonderland LN
Sevierville, TN 37862-8288
Phone
(407) 917-0075
NPI assigned
Mar 3, 2009
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Benjamin Brady
Title
Cfo
Phone
(615) 864-8145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X L000000020924 TN Primary

Addresses

Primary practice location

3889 Wonderland LN
Sevierville, TN 37862-8288

Mailing address

2600 Lake Lucien Dr Ste 210
Maitland, FL 32751-7275

Other names 1

  • Pasadena Villa Smoky Mountain Lodge Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2184352Pasadena Villa Smoky Mountain Lodge3889 Wonderland Lane, Sevierville, TN 37862Certificate of waiverMay 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Healthcare Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

216 Pasadena Pl
Orlando, FL 32803
Phone (407) 246-0887

3889 Wonderland Ln
Sevierville, TN 37862
Phone (407) 917-0075

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1073753059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAKE LUCIEN DR STE 210",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3889 WONDERLAND LN",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378628288",
            "telephone_number": "407-917-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTHCARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-864-8145"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "TN",
            "license": "L000000020924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Villa Smoky Mountain Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.