Renewance Services, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

467-14-001 Issued in VA

Legal business name

RENEWANCE SERVICES, LLC

Practice address

2506 Bent Oaks Dr
Colonial Heights, VA 23834-1741

Phone

(804) 520-0490

Fax

(804) 520-0491

NPI assigned

May 18, 2007

Last updated

Aug 22, 2020By 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

Mrs. Arifah Muhammad Rogers

Title

Program Coordinator

Phone

(804) 520-0490

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578771994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 BENT OAKS DR",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341741",
            "telephone_number": "804-520-0490",
            "fax_number": "804-520-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 BENT OAKS DR",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341741",
            "telephone_number": "804-520-0490",
            "fax_number": "804-520-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWANCE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ARIFAH",
        "authorized_official_middle_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "804-520-0490",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "467-14-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.