Renaissance Adult Day Care, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

RENAISSANCE ADULT DAY CARE, LLC

Practice address

1040 Southbridge Street
Worcester, MA 01610

Phone

(508) 925-0389

Fax

(508) 258-9767

NPI assigned

Apr 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Dmitry Burshteyn

Title

Member

Phone

(508) 925-0389

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1851681324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SOUTHBRIDGE STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01610",
            "telephone_number": "508-925-0389",
            "fax_number": "508-258-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SOUTHBRIDGE STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01610",
            "telephone_number": "508-925-0389",
            "fax_number": "508-258-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "BURSHTEYN",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "508-925-0389",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Remillard, PSY.D.
• Rachel M. Remillard, D.C.
• Ruth Remington, NP
• Cira Remy
• Yanhan Ren
• Jennifer Marie Renaud, LICSW
• Valeria Isabel Rendon-Gotera, PA-C
• Renewal Integrative Psychotherapies LLC
• Devon Renfro, LMHC
• Erich J Renner, M.D.

• Adult Day Care Clinic/Center in Worcester, MA
• Providers in Worcester, MA by specialty
• Adult Day Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.