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NPI Code Detail

MEDICARE: RENEWED HEALTH CARE PRACTICE

MEDICARE: RENEWED HEALTH CARE PRACTICE
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1154009066
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENEWED HEALTH CARE PRACTICE
Provider Business Mailing Address
First Line : 1101 LARONA RD
Second Line :
City : TROTWOOD
State : OH
Zip : 45426-2574
Country : US
Telephone Number : 937-520-7889
Fax Number :
Provider Business Practice Location Address
First Line : 2720 E 3RD ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-2102
Country : US
Telephone Number : 937-520-7889
Fax Number :
Authorized Official
Title or Position : CEO
Name : RHONDA SMITH BASS
Credential : ALP
Telephone Number : 937-520-7889
Provider Enumeration Date : 07/10/2023
Last Update Date : 06/18/2025

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Directions to “RENEWED HEALTH CARE PRACTICE ” Practice Location

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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.