Organization Active NPI

Renaissance Advantage Charter School

  • Local Education Agency (LEA)
  • Philadelphia, PA
National Provider Identifier
1841469715
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
RENAISSANCE ADVANTAGE CHARTER SCHOOL
Practice address
1712 S 56TH St
Philadelphia, PA 19143-5308
Phone
(215) 724-2585
Fax
(215) 724-4294
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Michelle Thornton
Title
Business Manager
Phone
(215) 724-2585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X PA Primary

Addresses

Primary practice location

1712 S 56TH St
Philadelphia, PA 19143-5308

Mailing address

1712 S 56TH St
Philadelphia, PA 19143-5308
Phone (215) 724-2585

Other identifiers 1

IdentifierTypeStateIssuer
1018324170001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Mastery Charter Hardy Williams2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1712 S 56th St
Philadelphia, PA 19143
Phone (215) 724-2343

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1841469715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 S 56TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435308",
            "telephone_number": "215-724-2585",
            "fax_number": "215-724-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 S 56TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435308",
            "telephone_number": "215-724-2585",
            "fax_number": "215-724-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE ADVANTAGE CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "215-724-2585"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018324170001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.