Renaissance Healthcare LLC

Primary specialty

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

Legal business name

RENAISSANCE HEALTHCARE LLC

Practice address

3321 Youree Dr
Suite 100
Shreveport, LA 71105-2123

Phone

(318) 868-6033

Fax

(318) 868-6011

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James A Joubert Jr.

Title

Member/Manager

Phone

(225) 387-5585

Specialties & licenses 1

Addresses

Tax ID family

Renaissance Healthcare LLC3 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.

• Renaissance Healthcare LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minden, LA
  • NPI 1235311192
  NPD tax ID
• Renaissance Healthcare, LLC

  • Medical Specialty Clinic/Center
  • Baton Rouge, LA
  • NPI 1215159082
  NPD tax ID

Locations

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1598950370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 FLORIDA ST",
            "address_2": "SUITE 201",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708011703",
            "telephone_number": "225-387-5585",
            "fax_number": "225-387-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 YOUREE DR",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052123",
            "telephone_number": "318-868-6033",
            "fax_number": "318-868-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "JOUBERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "225-387-5585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia M Reliford, FNP
• Kaytlyn Remedes
• Marcelina Remedies
• Misty Remedies, LOTR
• David Hongwei Ren, MD, PHD
• David Renda, M.D.
• Renew Therapeutic Services, LLC
• Kimberly Renfro, AU.D.
• David Rengifo, MD
• Linda Hood Resendez, LOTR

• Mental Health Clinic/Center (Including Community Mental Health Center) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.