Newark Renaissance House, Inc

LBN: Newark Renaissance House, Inc
Newark Renaissance House, Inc is an health care organization with primary practice located at 50 Norfolk St # 56 , Newark NJ 07103-3228. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Newark Renaissance House, Inc can be contacted via phone (973) 623-3386, or through Diflumeri, Pat via phone (973) 623-3386.

Contact Information

Primary practice address
50 Norfolk St # 56 Newark NJ 07103-3228
Phone: (973) 623-3386
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Diflumeri, Pat
Phone: (973) 623-3386

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 0113934 New Jersey

Profile Details

NPI number 1407986367
LBN Legal business name Newark Renaissance House, Inc
DBA Doing business as
Authorized official Diflumeri, Pat
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407986367 NPPES
New Jersey MEDICAID 7605501
New Jersey MEDICAID 0102202

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