Renew Home Therapy PLLC

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

Legal business name

RENEW HOME THERAPY PLLC

Practice address

6051 Bradford St
Portage, MI 49024-2553

Phone

(269) 903-9737

NPI assigned

Sep 4, 2023

Last updated

Sep 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cassandra Jennings, OT

Title

Founder/Owner

Phone

(269) 779-7708

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1255117453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 BRADFORD ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 BRADFORD ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242553",
            "telephone_number": "269-903-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW HOME THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "269-779-7708",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Reid, IBCLC
• Deneyse Reincke
• Ann Reinholt
• Reagan Kathleen Reinsmith
• Lindsay Kay Remmler, PA-C
• Residential Opportunities Inc. (Landsdowne)
• Residential Opportunities, Inc. (Portage Road)
• Residential Opportunities, Inc. (GLC Heersma)
• Residential Opportunities, Inc. (Schuring Road)
• Residential Opportunities, Inc. (Osterhout)

• Gerontology Occupational Therapist in Portage, MI
• Providers in Portage, MI by specialty
• Gerontology Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.