MEDICARE: RENASCENT VENTURES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1215726138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENASCENT VENTURES LLC

Provider Business Mailing Address
First Line	:	1111 MAIN ST
Second Line	:
City	:	EAST BERNARD
State	:	TX
Zip	:	77435-9227
Country	:	US
Telephone Number	:	346-716-0908
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 MAIN ST
Second Line	:
City	:	EAST BERNARD
State	:	TX
Zip	:	77435-9227
Country	:	US
Telephone Number	:	346-716-0908
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DR. CHIOMA ANYADIKE
Credential	:	PHARMD
Telephone Number	:	346-716-0908

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	05/06/2025

Similar Medicare Providers

1770690166 — ERIC S KUCERA DC
Practice Location Address:

1131 A MAIN
EAST BERNARD, TX
77435-9227

Practice Phone: 979-335-4500
Practice Fax: 979-335-4545

1538336144 — ERIC S KUCERA
Practice Location Address:

1131 A MAIN
EAST BERNARD, TX
77435-9227

Practice Phone: 979-335-4500
Practice Fax: 979-335-4545

1275239840 — EVERION RX
Practice Location Address:

1111 MAIN ST
EAST BERNARD, TX
77435-9227

Practice Phone: 346-843-0037
Practice Fax: 346-843-0038

1508855651 — TERRY L SWEATT CRNA
Practice Location Address:

815 EAST PARRISH AVE
OWENSBORO, KY
42303-9227

Practice Phone: 270-684-5005
Practice Fax: 270-926-4432

1063578086 — DR. PAUL A. HAMERSKY D.D.S.
Practice Location Address:

9227 EAST LINCOLN AVE. , SUITE #100
LONE TREE, CO
80124-5504

Practice Phone: 720-344-2662
Practice Fax: 720-344-2663

1245489970 — KRISTY ANN VENTURA NP
Practice Location Address:

5000 BRITTONFIELD PKWY STE A100
EAST SYRACUSE, NY
13057-9227

Practice Phone: 315-449-3800
Practice Fax: 315-449-0558

Directions to “RENASCENT VENTURES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.