Therenaissancegrouprealty LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

THERENAISSANCEGROUPREALTY LLC

Practice address

123 Fieldstone CT
Frederick, MD 21702-3279

Phone

(571) 237-2137

Fax

(571) 237-2137

NPI assigned

Sep 3, 2025

Organization subpart

No

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

Authorized official

Name

George Porter

Title

Owner

Phone

(571) 237-2137

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1750261590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14116 CASTLE BLVD APT 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044654",
            "telephone_number": "571-237-2137",
            "fax_number": "571-237-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FIELDSTONE CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023279",
            "telephone_number": "571-237-2137",
            "fax_number": "571-237-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERENAISSANCEGROUPREALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-237-2137"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.