Renaissance Adhc @ Foote St

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

RENAISSANCE ADHC @ FOOTE ST

Practice address

5214 Foote St NE
Washington, DC 20019-6657

Phone

(240) 506-6846

NPI assigned

Oct 7, 2015

Last updated

Jun 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerya Lera Balannik

Title

Partner

Phone

(240) 506-6846

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Renaissance Adult Day Healthcare Center at Foote st Other name

Tax ID family

Renaissance Adhc at Foote St2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Renaissance Adhc at Foote St

  • Adult Day Care Clinic/Center
  • Washington, DC
  • NPI 1407016660
  NPD tax ID

Locations

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1073983763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 N WESTLAND DR #304",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20877",
            "telephone_number": "240-506-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 FOOTE ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200196657",
            "telephone_number": "240-506-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE ADHC @ FOOTE ST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "BALANNIK",
        "authorized_official_first_name": "VALERYA",
        "authorized_official_middle_name": "LERA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "240-506-6846"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013078055",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078520900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Adult Day Healthcare Center at Foote st",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Renaissance Adult Day Healthcare Center at Foote st",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexis Remshak, AUD
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• Renaissance Adhc at Foote St
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• Renal Services, P.C.

• Adult Day Care Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Adult Day Care Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.