Organization Active NPI

Renaissance Health, LLC

  • Community/Behavioral Health Agency
  • Northglenn, CO
National Provider Identifier
1841650900
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
APN.0991291 Issued in CO
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

Updated by the provider on Mar 2, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
952719650MedicaidCO

National Provider Directory

National Provider Directory

Locations

11310 Huron St
Ste 230
Northglenn, CO 80234
Phone (720) 450-7684

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.