Renaissance Healthcare System, Llc.

LBN: Renaissance Healthcare System, Llc.
Renaissance Healthcare System, Llc. is an health care organization with primary practice located at 3216 Turner St , Philadelphia PA 19121-2416. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is the primary health care specialty. Renaissance Healthcare System, Llc. can be contacted via phone (215) 290-6377, or through Gethers, Mecca via phone (215) 290-6377.

Contact Information

Primary practice address
3216 Turner St Philadelphia PA 19121-2416
Phone: (215) 290-6377
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gethers, Mecca OTD, OTR/L
Phone: (215) 290-6377

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT002677L Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OC010160 Pennsylvania
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Early Intervention Provider Agency 252Y00000X OC010160 Pennsylvania

Profile Details

NPI number 1861752297
LBN Legal business name Renaissance Healthcare System, Llc.
DBA Doing business as
Authorized official Gethers, Mecca OTD, OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2012
Last updated May 18th, 2012 - about 14 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 1861752297 NPPES
Pennsylvania MEDICAID 1017875630001
Pennsylvania MEDICAID 1026557740001

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