DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC

MEDICARE: RENAISSANCE HEALTHCARE GROUP RALEIGH, 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1730860677
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENAISSANCE HEALTHCARE GROUP RALEIGH, LLC
Provider Business Mailing Address
First Line : 720 COOL SPRINGS BLVD
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2626
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10130 PERIMETER PKWY STE 240
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-2447
Country : US
Telephone Number : 980-701-9266
Fax Number :
Authorized Official
Title or Position : CFO
Name : BENJAMIN BRADY
Credential :
Telephone Number : 615-260-2641
Provider Enumeration Date : 07/25/2023
Last Update Date : 06/10/2026

Similar Medicare Providers

1629025655 — DR. WILLIAM SIMPSON SAMPSON IV PH.D.
Practice Location Address:
10130 PERIMETER PKWY , STE 200
CHARLOTTE, NC
28216-2447
Practice Phone: 888-849-7379
Practice Fax: 855-857-7333
1144254418 — MR. TOM ALAN JUDY PA-C
Practice Location Address:
10130 PERIMETER PKWY , STE 200
CHARLOTTE, NC
28216-2447
Practice Phone: 888-849-7379
Practice Fax: 855-857-7333
1174732978 — MS. JOANN CAROLYN SUMNER FNP
Practice Location Address:
10130 PERIMETER PKWY , STE 200
CHARLOTTE, NC
28216-2447
Practice Phone: 888-849-7379
Practice Fax: 855-857-7333
1780874032 — PETER F FOWLE LCSW
Practice Location Address:
10130 PERIMETER PKWY , STE 200
CHARLOTTE, NC
28216-2447
Practice Phone: 888-849-7379
Practice Fax: 855-857-7333
1538324017 — ADDUS HEALTHCARE (NORTH CAROLINA), INC.
Practice Location Address:
10130 PERIMETER PKWY , SUITE 205
CHARLOTTE, NC
28216-2447
Practice Phone: 800-579-6331
Practice Fax: 803-980-4365
1487800314 — MRS. CRISTIE WELLS FAIRCLOTH PA-C, RD, LDN
Practice Location Address:
10130 PERIMETER PKWY , STE 200
CHARLOTTE, NC
28216-2447
Practice Phone: 888-849-7379
Practice Fax: 855-857-7333

Directions to “RENAISSANCE HEALTHCARE GROUP RALEIGH, 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.