NPIMap

Organization Active NPI

Renaissance Healthcare Group Virginia, LLC

  • Psychiatric Residential Treatment Facility
  • Glen Allen, VA
National Provider Identifier
1720747744
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
RENAISSANCE HEALTHCARE GROUP VIRGINIA, LLC
Practice address
12790 Kain Rd
Glen Allen, VA 23059-5729
Phone
(804) 548-4470
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 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 Primary

Addresses

Primary practice location

12790 Kain Rd
Glen Allen, VA 23059-5729

Mailing address

1035 Monticello Dr
Anderson, IN 46011-1223
Phone (804) 548-4470

Other practice location 1

1897 Manakintown Ferry Rd
Midlothian, VA 23113-9302
Phone (804) 233-6498

Other names 1

  • Aster Springs Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2250461RHG of Virginia LLC Dba Aster Springs12790 Kain Road, Glen Allen, VA 23059Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Healthcare Group Virginia LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1720747744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 MONTICELLO DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460111223",
            "telephone_number": "804-548-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12790 KAIN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595729",
            "telephone_number": "804-548-4470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1897 Manakintown Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231139302",
            "country_code": "US",
            "telephone_number": "804-233-6498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENAISSANCE HEALTHCARE GROUP VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aster Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aster Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.