Renaissance Healthcare System, LLC.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

OC010160 Issued in PA

Legal business name

RENAISSANCE HEALTHCARE SYSTEM, LLC.

Practice address

3216 Turner St
Philadelphia, PA 19121-2416

Phone

(215) 290-6377

NPI assigned

May 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mecca Gethers, OTD, OTR/L

Title

Owner/Occupational Therapist

Phone

(215) 290-6377

Specialties & licenses 4

Addresses

Other identifiers 2

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1861752297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 TURNER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191212416",
            "telephone_number": "215-290-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 TURNER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191212416",
            "telephone_number": "215-290-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTHCARE SYSTEM, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "GETHERS",
        "authorized_official_first_name": "MECCA",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "215-290-6377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002677L",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010160",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "OC010160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017875630001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026557740001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mei Qing Ren, BA
• Allie Renai
• Renaissance Advantage Charter School
• Renaissance Center for Healing Arts
• Renaissance Healthcare & Rehabilitation Center LLC
• Renal Care Group East, Inc.
• Renal Care Group East, Inc.
• Renal Carepartners of Philadelphia, LLC
• Renal Center of Philadelphia, LLC
• Renal Treatment Centers - Mid-Atlantic, Inc.

• Early Intervention Provider Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.