NPIMap

Organization Active NPI

Renaissance Healthcare Group Virginia, LLC

  • Psychiatric Residential Treatment Facility
  • Manakin Sabot, VA
National Provider Identifier
1093401622
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
RENAISSANCE HEALTHCARE GROUP VIRGINIA, LLC
Practice address
2190 Manakin Rd
Manakin Sabot, VA 23103-2206
Phone
(804) 548-4470
Fax
(804) 688-1650
NPI assigned
Apr 17, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Benjamin Brady
Title
Cfo
Phone
(615) 864-4185

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
49D2275446Aster Springs2190 Manakin Road, Manakin Sabot, VA 23103Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Healthcare Group Virginia LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2190 Manakin Rd
Manakin Sabot, VA 23103-2206

Mailing address

1035 Monticello Dr
Anderson, IN 46011-1223
Phone (804) 548-4470

Other names 1

NPPES NPI Registry
  • Aster Springs Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2026.

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1093401622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 MONTICELLO DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460111223",
            "telephone_number": "804-548-4470",
            "fax_number": "804-688-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 MANAKIN RD",
            "city": "MANAKIN SABOT",
            "state": "VA",
            "postal_code": "231032206",
            "telephone_number": "804-548-4470",
            "fax_number": "804-688-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTHCARE GROUP VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-864-4185"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aster Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aster Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manakin Sabot, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.