Renew Healthcare, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

038955 Issued in GA

Legal business name

RENEW HEALTHCARE, LLC

Practice address

11550 Jones Bridge Rd
Suite 4
Alpharetta, GA 30022-4540

Phone

(678) 297-0901

NPI assigned

Feb 17, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Brian Edward Ouellette

Title

Managing Member

Phone

(678) 297-0901

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Lisa Tabick Cattarulla, D.C.

  • Chiropractor
  • Alpharetta, GA
  • NPI 1356471668
  NPD (past)

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1487951034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 JONES BRIDGE RD",
            "address_2": "SUITE 4",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 JONES BRIDGE RD",
            "address_2": "SUITE 4",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224540",
            "telephone_number": "678-297-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "678-297-0901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "038955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "202G708437",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Seth Reingold, M.D.
• Gina Woodard Reinhart, DMD
• Reliant Senior Living LLC
• Latoya N Rembert, OWNER
• Neal David Render
• Fernando Rengifo-Caicedo, SLP007041
• Renviva Dialysis Center of North Georgia LLC
• Rep Perimeter Holdings, LLC
• Respond Resource Inc
• Resurgens, LLC

• Physical Medicine & Rehabilitation Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.