Renaissance Recovery Group LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

I000000016301 Issued in TN

Legal business name

RENAISSANCE RECOVERY GROUP LLC

Practice address

7220 Wellington Dr
Knoxville, TN 37919-5955

Phone

(865) 474-1299

Fax

(865) 474-9485

NPI assigned

Apr 9, 2015

Organization subpart

No

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

Authorized official

Name

Jeff Skinner

Title

Authorized Representative

Phone

(865) 474-1299

Specialties & licenses 1

Addresses

Tax ID family

Renaissance Recovery Group2 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 Recovery Group

  • Addiction (Substance Use Disorder) Counselor
  • Knoxville, TN
  • NPI 1770031387
  NPD tax ID

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1467848168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 WELLINGTON DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195955",
            "telephone_number": "865-474-1299",
            "fax_number": "865-474-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 WELLINGTON DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195955",
            "telephone_number": "865-474-1299",
            "fax_number": "865-474-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE RECOVERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "865-474-1299"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "I000000016301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Relatyv Mobile Medical LLC
• Shaneeka Lachele Relford
• Renaissance Ppon LLC
• Renaissance Recovery Center
• Renaissance Recovery Group
• Renaissance Wellness Center
• Renal Medical Associates PC
• Claire Deslenson Rene, SA-C
• Hope Cooke Reneau, LCSW
• Lindsey Reneau

• Substance Abuse Rehabilitation Facility in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.