RENAISSANCE RECOVERY (NPI# 1396047239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396047239 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE RECOVERY |
| Practice Address |
5250 John R St Detroit MI 48202-4030 |
| Practice Telephone | 3138311911 |
| Practice Fax Number | 3138311931 |
| Mailing Telephone | 3138311911 |
| Mailing Fax Number | 3138311931 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |
| Authorized Official Name | BILLY CANNON (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 3135513534 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 823125 | MI | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RENAISSANCE RECOVERY RESOURCES, PC | 1184 Mcgee Court, Keizer, OR 97303 |
| Indiana Business Entities | RENAISSANCE RECOVERY SERVICES, INC. | 2700 Sanders Rd, Prospect Heights, IL 60070 |
| Massachusetts Corporations | RENAISSANCE RECOVERY SERVICES, INC. | 2700 Sanders Rd., Prospect Heights, IL 60070 |
| Colorado Business Entities | RENAISSANCE RECOVERY SERVICES, INC. | 9400 Sw Beaverton, Hillsdale Hwy, Beaverton, OR 97005 |
| Massachusetts Corporations | RENAISSANCE RECOVERY, INC. | 830 Crescent Centre Drive, Suite 610, Franklin, TN 37067 |
| Street Address |
5250 JOHN R ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467733097 | Mical Joel Barnhart | Registered Nurse | 5250 John R St, Detroit, MI 48202-4030 | 2011-09-09 |
| 1679853725 | Tashia Lasha Williams | Registered Nurse | 5250 John R St, Detroit, MI 48202-4030 | 2011-08-22 |
| 1801176045 | Alina Marie Hembree | Registered Nurse | 5250 John R St, Detroit, MI 48202-4030 | 2011-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457718165 | Shar Inc. | Substance Abuse Rehabilitation Facility | 9961 Patton St, Detroit, MI 48228-1217 | 2016-01-26 |
| 1073988333 | Sobriety House | Substance Abuse Rehabilitation Facility | 2150 E Vernor Hwy, Apt 413, Detroit, MI 48207-2744 | 2015-12-11 |
| 1003180902 | Cherry Streat Health Services | Substance Abuse Rehabilitation Facility | 11105 E Jefferson Ave, Detroit, MI 48214-3317 | 2012-02-24 |
| 1871866475 | Positive Images | Substance Abuse Rehabilitation Facility | 13336 E.warren, Detroit, MI 48229 | 2012-02-14 |
| 1861778680 | Pure Recovery Inc. | Substance Abuse Rehabilitation Facility | 19406 Norwood St, Detroit, MI 48234-1870 | 2011-10-25 |
| 1912227075 | Juda Transitional & Recovery House | Substance Abuse Rehabilitation Facility | 5579 Vancouver St, Detroit, MI 48204-3607 | 2010-06-10 |
| 1386974913 | Stategies of Life Outreach Centers | Substance Abuse Rehabilitation Facility | 17850 Mcdougall St, Detroit, MI 48212-1040 | 2010-01-04 |
| 1922335181 | Robert IIi Baptiste Thompson | Substance Abuse Rehabilitation Facility | 2616 Puritan St, Detroit, MI 48238-1420 | 2009-11-09 |
| 1013143676 | Marian's Center for Woman's Growth | Substance Abuse Rehabilitation Facility | 5247 Sheridan St, Detroit, MI 48213-2868 | 2009-06-09 |
| 1144469461 | Lakeridge Village, Inc. | Substance Abuse Rehabilitation Facility | 15941 Fairfield St, Detroit, MI 48238-4123 | 2009-02-10 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on RENAISSANCE RECOVERY.
| 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.