Renaissance Healthcare System, Llc. is a
Early Intervention Provider Agency based in Philadelphia, Pennsylvania. Renaissance Healthcare System, Llc. is licensed to practice in Pennsylvania (license number OC010160) and their current practice location is
3216 Turner St, Philadelphia, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(215) 290-6377.
NPI number for Renaissance Healthcare System, Llc. is 1861752297 and their current mailing address is 3216 Turner St, Philadelphia, Pennsylvania. Renaissance Healthcare System, Llc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1861752297.
Healthcare Provider's Profile
| Full Name | Renaissance Healthcare System, Llc. |
|---|
| Type | Facility |
|---|
| Speciality | Early Intervention Provider Agency |
|---|
| Location | 3216 Turner St, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861752297
- Provider Enumeration Date: 05/18/2012
- Last Update Date: 05/18/2012
Medical Identifiers
Medical identifiers for Renaissance Healthcare System, Llc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861752297 | NPI | - | NPPES |
| 1017875630001 | Medicaid | PA | |
| 1026557740001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT002677L (Pennsylvania) | Secondary |
| 225X00000X | Occupational Therapist | OC010160 (Pennsylvania) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | OC010160 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Renaissance Healthcare System, Llc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Renaissance Healthcare System, Llc.
3216 Turner St,
Philadelphia, PA 19121-2416
Ph: (215) 290-6377 | Renaissance Healthcare System, Llc.
3216 Turner St,
Philadelphia, PA 19121-2416
Ph: (215) 290-6377 |
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