Organization Active NPI

Renaissance 1 Social Services, LLC

  • Home Health Agency
  • New Orleans, LA
National Provider Identifier
1407021785
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RENAISSANCE 1 SOCIAL SERVICES, LLC
Practice address
5705 St Roch Ave
New Orleans, LA 70122
Phone
(504) 243-1901
Fax
(504) 243-1903
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Ms. Herlanius M. TateNPI 1427184415
Title
Owner
Phone
(504) 243-1901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10624 LA
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5705 St Roch Ave
New Orleans, LA 70122

Mailing address

5705 St Roch Ave
New Orleans, LA 70122
Phone (504) 243-1901

Other identifiers 1

IdentifierTypeStateIssuer
1473626MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Renaissance 1 Social Services LLC2 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.

Locations

1114 Franklin Ave
New Orleans, LA 70117

5705 Saint Roch Ave
New Orleans, LA 70122
Phone (504) 243-1901

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": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1407021785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 ST ROCH AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70122",
            "telephone_number": "504-243-1901",
            "fax_number": "504-243-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 ST ROCH AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70122",
            "telephone_number": "504-243-1901",
            "fax_number": "504-243-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE 1 SOCIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "HERLANIUS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-243-1901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "10624",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473626",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.