NPIMap

Organization Active NPI

Renew Family Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elkins Park, PA
National Provider Identifier
1922458108
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RENEW FAMILY SERVICES, LLC
Practice address
8080 Old York Rd Ste 224
Elkins Park, PA 19027-1426
Phone
(267) 626-2018
Fax
(267) 636-5205
NPI assigned
Jun 17, 2016
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Nicholas Bardoutsos
Title
Managing Partner
Phone
(570) 239-8607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

8080 Old York Rd Ste 224
Elkins Park, PA 19027-1426

Mailing address

8080 Old York Rd Ste 224
Elkins Park, PA 19027-1426
Phone (267) 626-2018

National Provider Directory

National Provider Directory

Locations

8080 Old York Rd
Ste 224
Elkins Park, PA 19027
Phone (267) 626-2018

501 York Rd
Ste 4
Jenkintown, PA 19046
Phone (267) 626-2018

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1922458108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 OLD YORK RD STE 224",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271426",
            "telephone_number": "267-626-2018",
            "fax_number": "267-636-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 OLD YORK RD STE 224",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271426",
            "telephone_number": "267-626-2018",
            "fax_number": "267-636-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "BARDOUTSOS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "570-239-8607"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.