Renaissance Mental Health Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

RENAISSANCE MENTAL HEALTH SERVICES LLC

Practice address

11285 SW 211TH St Ste 201
Cutler Bay, FL 33189-2211

Phone

(786) 663-9914

NPI assigned

Feb 13, 2018

Last updated

Feb 13, 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

Noelkys Caraballo

Title

MBR

Phone

(786) 663-9914

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1578063970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST STE 201",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "786-663-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST STE 201",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "786-663-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "CARABALLO",
        "authorized_official_first_name": "NOELKYS",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "786-663-9914"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.