RENAISSANCE COMMUNITY HOMES INC. (NPI# 1730205675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730205675 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE COMMUNITY HOMES INC. |
| Practice Address |
25 E Main St Milan MI 48160-1284 |
| Mailing Address |
25 E Main St Po Box 166 Milan MI 48160-1284 |
| Practice Telephone | 7344390464 |
| Practice Fax Number | 7344390595 |
| Mailing Telephone | 7344390464 |
| Mailing Fax Number | 7344390595 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DONALD R FUGATE (FINANCE OFFICER) |
| Authorized Official Telephone | 7344390464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
25 E MAIN ST |
| City | MILAN |
| State | MI |
| Zip Code | 48160-1284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174169270 | Debra Joyce Lammers | Pharmacist | 531 West Main Street, Milan, MI 48160 | 2019-11-23 |
| 1427507227 | Todd Morningstar | Licensed Practical Nurse | 10090 Farrd, Milan, MI 48160 | 2016-09-22 |
| 1518399567 | Ryan David Hall | Physical Therapist | 905 Dexter Street, Milan, MI 48160 | 2013-08-01 |
| 1972942506 | Amber Withrow | Counselor | 18b W Main St, Milan, MI 48160 | 2013-06-17 |
| 1750622965 | Beth Sue Peterson | Counselor | 18 W. Main St. Suite B, Milan, MI 48160 | 2013-03-13 |
| 1144552944 | Stamper Adult Care | Community Based Residential Treatment Facility, Mental Illness | 64 First St, Milan, MI 48160 | 2010-02-03 |
| 1245458512 | Patricia J Pacheco | Pharmacist | 4000 East Arkona Rd, Pharmacy Services, Milan, MI 48160 | 2007-04-23 |
| 1356429971 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1249 Dexter Street, Milan, MI 48160 | 2006-11-01 |
| 1700864618 | Gregory Allen Scherle | Family Medicine | 4004 Arkona Road, Milan, MI 48160 | 2006-01-03 |
| 1578993580 | Jill Michele-reese Stante | Social Worker | 17 Main Street, Suite #1, Milan, MI 48160 | 2013-11-13 |
| Find all providers in zip 48160 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144552944 | Stamper Adult Care | Community Based Residential Treatment Facility, Mental Illness | 64 First St, Milan, MI 48160 | 2010-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1104452812 | New Vision of Integrative Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 3505 Walnut St Ste C, Inkster, MI 48141-2952 | 2020-03-14 |
| 1124665054 | Baseline, L.L.C. | Community Based Residential Treatment Facility, Mental Illness | 122 W Crosstown Pkwy, Kalamazoo, MI 49001-2742 | 2019-12-10 |
| 1407491277 | Twin Doves II LLC | Community Based Residential Treatment Facility, Mental Illness | 40739 80th Ave, Decatur, MI 49045-8158 | 2019-11-15 |
| 1710528617 | Larry J Graham Jr. | Community Based Residential Treatment Facility, Mental Illness | 1284 Maurer Ave, Pontiac, MI 48342-1960 | 2019-10-01 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1669937603 | Community Living Options | Community Based Residential Treatment Facility, Mental Illness | 1206 Bronson Cir, Kalamazoo, MI 49008-2325 | 2019-02-04 |
| 1235607854 | Csm Serenity Homes, LLC | Community Based Residential Treatment Facility, Mental Illness | 1714 W 32nd St, Holland, MI 49423-7311 | 2018-11-13 |
| 1750859229 | The Noble Home II, Inc | Community Based Residential Treatment Facility, Mental Illness | 327 E Grand Blvd, Detroit, MI 48207-3616 | 2018-11-02 |
| 1679048870 | Neighborhood Living Services,inc. | Community Based Residential Treatment Facility, Mental Illness | 23001 Norfolk St, Detroit, MI 48219-1185 | 2018-10-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RENAISSANCE COMMUNITY HOMES INC..
| 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.