Organization Active NPI

Renaissance Adhc, LLC

  • Adult Day Care Clinic/Center
  • Providence, RI
National Provider Identifier
1831590355
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
RENAISSANCE ADHC, LLC
Practice address
1090 Eddy St
Providence, RI 02905-4607
Phone
(401) 640-7648
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Erny Francisco
Title
Vice-President
Phone
(401) 640-7648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1090 Eddy St
Providence, RI 02905-4607

Mailing address

1090 Eddy St
Providence, RI 02905-4607
Phone (401) 640-7648

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
41D2215560Renaissance Adhc1090 Eddy St, Providence, RI 02905Certificate of waiverMar 3, 2027

National Provider Directory

National Provider Directory

Locations

1090 Eddy St
Providence, RI 02905
Phone (401) 640-7648

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1831590355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054607",
            "telephone_number": "401-640-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054607",
            "telephone_number": "401-640-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE ADHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "ERNY",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "401-640-7648"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.