Remedies Renewing Lives

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REMEDIES RENEWING LIVES

Practice address

1908 Pierce CT
Belvidere, IL 61008-1742

Phone

(815) 547-4502

Fax

(815) 544-0391

NPI assigned

Oct 22, 2018

Last updated

Oct 22, 2018By 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

Kathy S. Branning, M.S., LCPC, CADC,

Title

VP of Marketing/Fund Development

Phone

(815) 966-1285

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Remedies Renewing Lives3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Remedies Renewing Lives

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1114493772
  NPD tax ID
• Remedies Renewing Lives

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Belvidere, IL
  • NPI 1720259401
  NPD tax ID

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1487120143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 EASTON PKWY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082203",
            "telephone_number": "815-966-1285",
            "fax_number": "815-962-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 PIERCE CT",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610081742",
            "telephone_number": "815-547-4502",
            "fax_number": "815-544-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDIES RENEWING LIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "BRANNING",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VP OF MARKETING/FUND DEVELOPMENT",
        "authorized_official_telephone_number": "815-966-1285",
        "authorized_official_credential": "M.S., LCPC, CADC,"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720259401",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R Patel LLC (O'brien and dobbins)
• R Patel LLC
• Alejandra Raya
• Hannah Marie Rehfeldt, PT, DPT, ATC
• Cassandra Susan Reilley, PTA
• Remedies Renewing Lives
• Revive Therapy and Wellness LLC
• Lindsey Rockwell
• Isabella Renae Rogers
• Rosecrance, Inc. (Rosecrance Belvidere)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Belvidere, IL
• Providers in Belvidere, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.