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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Renaissance Healthcare Grou
- Renaissance Healthcare Group Raleigh, LLC
National Provider Directory
National Provider DirectoryLocations
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
- Haley Marie Reisgies
- Reliable Medical Equipment Corp
- Relief Counseling Group PLLC
- Allison Ruth Ruel Rella, LCSW
- Remembered Therapy, PLLC
- Renaissance Healthcare Group Raleigh, LLC
- Renaissance Healthcare Group Raleigh,LLC
- Renaissance Healthcare Group Raleigh,LLC
- Savannah Renard
- Aimee Renaud, BEHAVIOR TECHNICIAN
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.