The Renaissance House

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

THE RENAISSANCE HOUSE

Practice address

114 W Jefferson St
Jackson, NC 27845-9419

Phone

(919) 638-1239

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shawanda BarnesNPI 1316682784

Title

Executive Director

Phone

(919) 638-1239

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Shawanda Ann Barnes

  • Addiction (Substance Use Disorder) Counselor
  • Rocky Mount, NC
  • NPI 1316682784
  NPD Authorized official

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1972382182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OLD HIGHWAY RD",
            "city": "GARYSBURG",
            "state": "NC",
            "postal_code": "278313001",
            "telephone_number": "191-963-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W JEFFERSON ST",
            "city": "JACKSON",
            "state": "NC",
            "postal_code": "278459419",
            "telephone_number": "919-638-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RENAISSANCE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SHAWANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-638-1239"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rural Health Group, Inc. (Rural Health Group at Jackson)
• Sega Sikod, PA-C
• Lauren Simmons
• Cheryl Cherry Stevenson
• Tar River LTC Group, LLC (Northampton Nursing and Rehabilitation Center)
• Kimberly Thomas
• Uplift Comprehensive Services

• Voluntary or Charitable Agency in Jackson, NC
• Providers in Jackson, NC by specialty
• Voluntary or Charitable Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.