NPIMap

Organization Active NPI

Renaissance Healthcare Group LLC

  • Psychiatric Residential Treatment Facility
  • Orlando, FL
National Provider Identifier
1619411014
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
RENAISSANCE HEALTHCARE GROUP LLC
Doing business as
Lifeskills Orlando
Pasadena Villa Orlando
Practice address
119 Pasadena PL
Orlando, FL 32803-3825
Phone
(954) 284-0495
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Benjamin Brady
Title
Cfo
Phone
(615) 864-8145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X FL Primary

Addresses

Primary practice location

119 Pasadena PL
Orlando, FL 32803-3825

Mailing address

2600 Lake Lucien Dr Ste 210
Maitland, FL 32751-7275

Other practice location 1

214 E Marks St
Orlando, FL 32803-3819
Phone (954) 284-0495

Other names 2

  • Lifeskills Orlando Doing business as
  • Pasadena Villa Orlando Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Healthcare Group LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1619411014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAKE LUCIEN DR STE 210",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PASADENA PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033825",
            "telephone_number": "954-284-0495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 E Marks St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328033819",
            "country_code": "US",
            "telephone_number": "954-284-0495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENAISSANCE HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-864-8145"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeskills Orlando",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pasadena Villa Orlando",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.