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Contact Information

RENAISSANCE 1 SOCIAL SERVICES, LLC
5705 ST ROCH AVE
NEW ORLEANS, LA70122
 Phone: 504-243-1901
 Fax: 504-243-1903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for RENAISSANCE 1 SOCIAL SERVICES, LLC

NPI Number 1407021785
LBN Legal business name RENAISSANCE 1 SOCIAL SERVICES, LLC
Authorized official HERLANIUS TATE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/28/2008
Last updated 07/22/2022 - About 4 years ago
Identifiers
LA License # 10624
LA Medicaid 1473626
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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