RENAISSANCE RESIDENCY (NPI# 1356678858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356678858 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE RESIDENCY |
| Practice Address |
1947 Summer Place Dr W Mobile AL 36618-3237 |
| Mailing Address |
11673 Mcfarland Rd Spanish Fort AL 36527-5768 |
| Practice Telephone | 2513004207 |
| Mailing Telephone | 2516213525 |
| Mailing Fax Number | 2516213525 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |
| Authorized Official Name | GWENDOLYN TRENESE-WILLIAMS JONES (DIRECTOR) |
| Authorized Official Telephone | 2516213525 |
| Authorized Official Credential | ED.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Street Address |
1947 SUMMER PLACE DR W |
| City | MOBILE |
| State | AL |
| Zip Code | 36618-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114319944 | Gina Deering | Pharmacist | 5651 Moffett Rd, Suite C, Mobile, AL 36618 | 2015-03-03 |
| 1245510403 | Thuy-ngan Thi Duong | Pharmacist | 5651 Moffett Road, Mobile, AL 36618 | 2011-08-19 |
| 1679852586 | Innovative Prosthetic Care, LLC | Prosthetic/Orthotic Supplier | 1109 Wi-65 Service Rd N, Mobile, AL 36618 | 2011-08-09 |
| 1649454695 | Louis James Naman | Dentist | 4137 Moffelt Rd., Mobile, AL 36618 | 2007-12-27 |
| 1235254277 | Amie G Webb | Pharmacist | 5651 C Moffat Rd, Mobile, AL 36618 | 2007-03-20 |
| 1659431682 | Gerald Edward Berger | Dentist | 5216 Overlook Road, Mobile, AL 36618 | 2006-12-11 |
| 1780779314 | Tammy Dubuc | Pharmacist | 5651 C Moffet Road, Mobile, AL 36618 | 2006-10-03 |
| 1245330711 | Dana B Lambert | Pharmacist | 5651-c Moffet Rd Winn Dixie 578, Mobile, AL 36618 | 2006-09-25 |
| 1861444689 | Michael Carl Madden Sr. | Family Medicine | 7505 Moffett Rd, Mobile, AL 36618 | 2006-05-17 |
| 1518518968 | Daniel Loper | Clinical Medical Laboratory | 3750 Moffett Rd, Mobile, AL 36618-1208 | 2019-09-26 |
| Find all providers in zip 36618 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346613700 | Royshanda Smith LLC | Exclusive Provider Organization | 120 N Lafayette St Ste A, Mobile, AL 36604-2258 | 2015-11-07 |
| 1366839979 | 4tdd.com, Inc. | Exclusive Provider Organization | 55 Midtown Park E, Mobile, AL 36606-4141 | 2015-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595202 | Solidarity Medical Care | Exclusive Provider Organization | 4024 Windswept Dr, Madison, AL 35757-7927 | 2020-07-21 |
| 1649828328 | Sixfourthree, LLC | Exclusive Provider Organization | 8490 Highway 72 W Ste 120, Madison, AL 35758-9575 | 2019-08-27 |
| 1245720473 | Jonah's Place Counseling, LLC | Exclusive Provider Organization | 28256 State Highway 75 Ste C, Oneonta, AL 35121-1659 | 2018-05-14 |
| 1427587716 | Helton Vision Associates,p.c. | Exclusive Provider Organization | 3016 S Alabama Ave, Monroeville, AL 36460-5600 | 2017-06-08 |
| 1093253668 | Infinity Infusion Nursing LLC | Exclusive Provider Organization | 4193 Saddlewood Dr, Saraland, AL 36571-9535 | 2017-02-03 |
| 1164825915 | Hcrc, Inc - Home Health | Exclusive Provider Organization | 12094 Olde South Ln, Mc Calla, AL 35111-2331 | 2014-10-07 |
| 1538405683 | R&r Grouphomes Inc | Exclusive Provider Organization | 1502 Faye St Sw, 1502 Faye St Sw, Decatur, AL 35601-2731 | 2012-12-18 |
| 1063758282 | Montelissa Full Life Resources, Inc | Exclusive Provider Organization | 1008 Clarkview St Sw, Decatur, AL 35601-6204 | 2012-12-15 |
| 1649542416 | Hnh Immunizations Inc | Exclusive Provider Organization | 326 Prairie Street North, Union Springs, AL 36089 | 2012-02-08 |
| 1962793893 | Dandridge Dental PC | Exclusive Provider Organization | 1435 Ross Clark Cir, Suite A-1, Dothan, AL 36301-4744 | 2011-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.