Organization Active NPI

Renaitre Wellness Inc

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1295495000
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RENAITRE WELLNESS INC
Practice address
839 Majestic CT
Gastonia, NC 28054-5147
Phone
(704) 671-2381
NPI assigned
Dec 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Ms. Glenda Strong, MBA/HCM, MSA, LCAS
Title
Owner/ Coo
Phone
(704) 222-7718

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

839 Majestic CT
Gastonia, NC 28054-5147

Mailing address

3340 Robinwood Rd Ste 100-462
Gastonia, NC 28054-6689
Phone (704) 671-2381

National Provider Directory

National Provider Directory

Locations

839 Majestic Ct
Gastonia, NC 28054
Phone (704) 671-2381

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1295495000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 ROBINWOOD RD STE 100-462",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546689",
            "telephone_number": "704-671-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 MAJESTIC CT",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545147",
            "telephone_number": "704-671-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAITRE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "OWNER/ COO",
        "authorized_official_telephone_number": "704-222-7718",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA/HCM, MSA, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.