Active NPI
Renaissance Adult Day Health Care Center at Claridge LLC
Doing business as Renaissance ADHC Claridge
- Adult Day Care Clinic/Center
- Washington, DC
National Provider Identifier
1245469261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- RENAISSANCE ADULT DAY HEALTH CARE CENTER AT CLARIDGE LLC
- Doing business as
- Renaissance ADHC Claridge
- Practice address
- 1221 M St NW
Washington, DC 20005-5176 - Phone
- (240) 506-6846
- Fax
- (888) 584-7137
- NPI assigned
- Jul 12, 2009
- 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
- Mrs. Valerya Lera Balannik
- Title
- Partner
- Phone
- (240) 506-6846
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1221 M St NW
Washington, DC 20005-5176
Mailing address
8945 N Westland Dr Ste 304
Gaithersburg, MD 20877-1249
Phone (240) 506-6846
Other names 1
- Renaissance ADHC Claridge
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442361600000",
"number": "1245469261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8945 N WESTLAND DR STE 304",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771249",
"telephone_number": "240-506-6846",
"fax_number": "888-584-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 M ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200055176",
"telephone_number": "240-506-6846",
"fax_number": "888-584-7137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAISSANCE ADULT DAY HEALTH CARE CENTER AT CLARIDGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-12",
"last_updated": "2015-09-16",
"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",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Renaissance ADHC Claridge",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.