Renaissance Adhc at Foote St

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

RENAISSANCE ADHC AT FOOTE ST

Practice address

5214 Foote Street, NE
Washington, DC 20019

Phone

(202) 388-6747

Fax

(888) 584-7137

NPI assigned

Jun 11, 2008

Last updated

Sep 15, 2015By 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

Mrs. Valerya Lera Balannik

Title

Partner

Phone

(240) 506-6846

Specialties & licenses 2

Addresses

Tax ID family

Renaissance Adhc at Foote St2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Renaissance Adhc @ Foote St

  • Adult Day Care Clinic/Center
  • Washington, DC
  • NPI 1073983763
  NPD tax ID

Locations

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1407016660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 NORTH WESTLAND DRIVE",
            "address_2": "#304",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20877",
            "telephone_number": "240-506-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 FOOTE STREET, NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20019",
            "telephone_number": "202-388-6747",
            "fax_number": "888-584-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE ADHC AT FOOTE ST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2015-09-15",
        "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": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remtun Pharmaceuticals Inc (Shepherd Pharmacy)
• Dennis Ren, MD
• Jenny Li Ren
• Sarah Foote Ren, MD
• Renaissance Adhc @ Foote St
• Renaissance Adult Day Health Care Center at Claridge LLC (Renaissance ADHC Claridge)
• Renaissance Center for Culture and Education (Renaissance Healthcare Services)
• Renaissance Grace Services DC LLC (Renaissance Grace services DC)
• Renal Services, P.C.
• Renal Treatment Centers Mid Atlantic Inc (Lee Street Dialysis)

• Adult Day Care Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Adult Day Care Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.