NPIMap

Organization Active NPI

Renaissance Healthcare Group Raleigh, LLC

Doing business as Pasadena Villa Outpatient Center-Triad

  • Adult Mental Health Clinic/Center
  • Greensboro, NC
National Provider Identifier
1376149120
Registry record updated Jun 10, 2026
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-Triad
Practice address
7900 Triad Center Dr Ste 300
Greensboro, NC 27409-9076
Phone
(336) 860-6720
NPI assigned
Dec 8, 2020
Organization subpart
Yes
Parent organization
RENAISSANCE HEALTHCARE GROUP RALEIGH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Benjamin Brady
Title
Cfo
Phone
(615) 260-2641

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

7900 Triad Center Dr Ste 300
Greensboro, NC 27409-9076

Mailing address

720 Cool Springs Blvd Ste 550
Franklin, TN 37067-2645
Phone (336) 860-6720

Other names 1

  • Pasadena Villa Outpatient Center-Triad Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Healthcare Group Raleighllc7 organizations share this tax ID, including this one
Part of
Renaissance Healthcare Group Raleighllc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7900 Triad Center Dr
Ste 300
Greensboro, NC 27409
Phone (336) 439-6747

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1376149120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD STE 550",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672645",
            "telephone_number": "336-860-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 TRIAD CENTER DR STE 300",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099076",
            "telephone_number": "336-860-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC",
        "enumeration_date": "2020-12-08",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-260-2641"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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-Triad",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pasadena Villa Outpatient Center-Triad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.