NPIMap

Organization Active NPI

Renew Path Recovery LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Rosedale, MD
National Provider Identifier
1740042514
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
RENEW PATH RECOVERY LLC
Practice address
8118 Philadelphia Rd
Rosedale, MD 21237-2849
Phone
(310) 926-6318
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Dana Jones
Title
Ceo
Phone
(310) 926-6318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

8118 Philadelphia Rd
Rosedale, MD 21237-2849

Mailing address

8118 Philadelphia Rd
Rosedale, MD 21237-2849
Phone (310) 926-6318

National Provider Directory

National Provider Directory
Tax ID family
Renew Path Recovery LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

8118 Philadelphia Rd
Rosedale, MD 21237
Phone (410) 866-6207

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1740042514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 PHILADELPHIA RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372849",
            "telephone_number": "310-926-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 PHILADELPHIA RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372849",
            "telephone_number": "310-926-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW PATH RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-926-6318"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.