Renaissance Recovery Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RENAISSANCE RECOVERY CENTER

Practice address

9051 Executive Park Dr
Suite 202
Knoxville, TN 37923-4606

Phone

(865) 240-3357

NPI assigned

Mar 6, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery Tuck Skinner Jr.

Title

Project Manager/Administrator

Phone

(850) 624-6022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1144613787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 EXECUTIVE PARK DR",
            "address_2": "SUITE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 EXECUTIVE PARK DR",
            "address_2": "SUITE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234606",
            "telephone_number": "865-240-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "TUCK",
        "authorized_official_title_or_position": "PROJECT MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "850-624-6022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Lindsay Reinhardt
• Ronda Redden Reitz, PH.D.
• Relatyv Mobile Medical LLC
• Shaneeka Lachele Relford
• Renaissance Ppon LLC
• Renaissance Recovery Group
• Renaissance Recovery Group LLC
• Renaissance Wellness Center
• Renal Medical Associates PC
• Claire Deslenson Rene, SA-C

• Substance Use Disorder Rehabilitation Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.