Active NPI
Renaissance Health, LLC
- Community/Behavioral Health Agency
- Northglenn, CO
National Provider Identifier
1841650900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- APN.0991291
- Legal business name
- RENAISSANCE HEALTH, LLC
- Practice address
- 11310 Huron St
#230
Northglenn, CO 80234-3046 - Phone
- (720) 450-7684
- NPI assigned
- Mar 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Renee Brunner Houser, MSN,RXN,PMHNP-BC
- Title
- President
- Phone
- (720) 450-7684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | APN.0991291 | CO | Primary |
Addresses
Primary practice location
11310 Huron St
#230
Northglenn, CO 80234-3046
Mailing address
11310 Huron St
#230
Northglenn, CO 80234-3046
Phone (720) 450-7684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 952719650 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
11310 Huron St
Ste 230
Northglenn, CO 80234
Phone (720) 450-7684
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/30367288-af74-4979-9ada-cd518e69cb2c/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456876800000",
"number": "1841650900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11310 HURON ST",
"address_2": "#230",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802343046",
"telephone_number": "720-450-7684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11310 HURON ST",
"address_2": "#230",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802343046",
"telephone_number": "720-450-7684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAISSANCE HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-02",
"last_updated": "2016-03-02",
"status": "A",
"authorized_official_last_name": "HOUSER",
"authorized_official_first_name": "RENEE",
"authorized_official_middle_name": "BRUNNER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "720-450-7684",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSN,RXN,PMHNP-BC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CO",
"license": "APN.0991291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "952719650",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.