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Contact Information

RENAISSANCE MEDICAL GROUP, LLC
11-15 SANDERSDALE ROAD
SOUTHBRIDGE, MA01550-2855
 Phone: 774-420-2311
 Fax: 508-519-0763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Adult Day Care

261QA0600X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Meals

174200000X
 

Medical Specialty

261QM2500X
 

Mental Health

101YM0800X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Transportation Network Company

342000000X
Indicates primary specialty

NPI Profile & details for RENAISSANCE MEDICAL GROUP, LLC

NPI Number 1144106667
LBN Legal business name RENAISSANCE MEDICAL GROUP, LLC
Authorized official JESUS SUAREZ - (OWNER/ CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2025
Last updated 08/12/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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