NPIMap

Organization Active NPI

Renaissance Family Care, LLC

  • In Home Supportive Care Agency
  • Portsmouth, VA
National Provider Identifier
1841540812
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1723 Issued in VA
Legal business name
RENAISSANCE FAMILY CARE, LLC
Practice address
702 Hancock Ave
Portsmouth, VA 23701-3345
Phone
(757) 966-1130
NPI assigned
Sep 17, 2012
Last updated
Sep 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Mr. Elijah Sharp
Title
Ceo
Phone
(757) 966-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1723 VA Primary

Addresses

Primary practice location

702 Hancock Ave
Portsmouth, VA 23701-3345

Mailing address

702 Hancock Ave
Portsmouth, VA 23701-3345
Phone (757) 966-1130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1841540812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 HANCOCK AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013345",
            "telephone_number": "757-966-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 HANCOCK AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013345",
            "telephone_number": "757-966-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-966-1130",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "1723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.