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RENAISSANCE GRACE SERVICES LLC
NPI 1013617851
Home Health in Clarksburg, MD

Active since March 09, 2023
12009 TREGONING PL, CLARKSBURG, MD 20871(301) 979-8104 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renaissance Grace Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAISSANCE GRACE SERVICES LLC (NPI 1013617851) is a healthcare organization registered as a home health in Clarksburg, Maryland and active in the NPI registry since March 2023. The organization lists Jean-christophe Noukelak, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013617851
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameRENAISSANCE GRACE SERVICES LLC
Location Address12009 TREGONING PLClarksburg, MD 20871-9365
Mailing Address12009 Tregoning PlClarksburg, MD 20871-9365
Phone(301) 979-8104
Organization SubpartNo
Authorized OfficialJean-christophe NoukelakAdministrator · (301) 979-8104
Enumeration DateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
✔ NPI 1013617851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedMealsTaxonomy 174200000X
Also ListedProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationTaxonomy 251T00000X
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X
Also ListedPreferred Provider OrganizationTaxonomy 305R00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedRespite CareTaxonomy 385H00000X
12009 TREGONING PL, Clarksburg, MD 20871
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renaissance Grace Services LLC's NPI number?

The NPI number for Renaissance Grace Services LLC is 1013617851. It was assigned to this organization in the NPPES registry on March 9, 2023.

Where is Renaissance Grace Services LLC located?

Renaissance Grace Services LLC is located at 12009 Tregoning Pl, Clarksburg, MD 20871. The listed phone number is (301) 979-8104.

What is Renaissance Grace Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Renaissance Grace Services LLC was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.