Organization Active NPI

Renaissance Healthcare Group Raleigh, LLC

Doing business as Pasadena Villa Outpatient Center - Raleigh

  • Adult Mental Health Clinic/Center
  • Cary, NC
National Provider Identifier
1184144586
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC
Doing business as
Pasadena Villa Outpatient Center - Raleigh
Renaissance Healthcare Grou
Renaissance Healthcare Group Raleigh, LLC
Practice address
206 High House Rd
Cary, NC 27513-8495
Phone
(615) 864-8145
NPI assigned
Jun 27, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Scott Sarnacke
Title
Authorized Office Official
Phone
(615) 864-8145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

206 High House Rd
Cary, NC 27513-8495

Mailing address

206 High House Rd
Cary, NC 27513-8495

Other names 3

  • Pasadena Villa Outpatient Center - Raleigh Doing business as
  • Renaissance Healthcare Grou Doing business as
  • Renaissance Healthcare Group Raleigh, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

206 High House Rd
Cary, NC 27513

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1184144586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HIGH HOUSE RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HIGH HOUSE RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138495",
            "telephone_number": "615-864-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SARNACKE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICE OFFICIAL",
        "authorized_official_telephone_number": "615-864-8145"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Villa Outpatient Center - Raleigh",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renaissance Healthcare Grou",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renaissance Healthcare Grou",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renaissance Healthcare Group Raleigh, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.