Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RENAISSANCE HEALTHCARE GROUP VIRGINIA, LLC
NPI 1043950504
Clinic/Center - Adult Mental Health in Norfolk, VA

Q: What is Renaissance Healthcare Group Virginia, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since March 31, 2022

5700 LAKE WRIGHT DR STE 409, NORFOLK, VA 23502(757) 918-7976 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, May 14, 2024 (2 updates tracked since 2024).

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About Renaissance Healthcare Group Virginia, Llc NPPES

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

RENAISSANCE HEALTHCARE GROUP VIRGINIA, LLC (NPI 1043950504), doing business as Pasadena Villa Outpatient- Norfolk, is a healthcare organization registered as an adult mental health in Norfolk, Virginia and active in the NPI registry since March 2022. The organization lists Benjamin Brady, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043950504

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameRENAISSANCE HEALTHCARE GROUP VIRGINIA, LLC

Location Address5700 LAKE WRIGHT DR STE 409Norfolk, VA 23502-1859

Mailing Address720 Cool Springs Blvd Ste 550Franklin, TN 37067-2645

Phone(757) 918-7976

Organization SubpartNo

Authorized OfficialBenjamin BradyCfo · (615) 864-8145

Enumeration DateMarch 31, 2022

Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1043950504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

5700 LAKE WRIGHT DR STE 409, Norfolk, VA 23502

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Other Names 1

Doing Business AsPasadena Villa Outpatient- Norfolk

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 Healthcare Group Virginia, LLC's NPI number?

The NPI number for Renaissance Healthcare Group Virginia, LLC is 1043950504. It was assigned to this organization in the NPPES registry on March 31, 2022. The provider is doing business as Pasadena Villa Outpatient- Norfolk.

Where is Renaissance Healthcare Group Virginia, LLC located?

Renaissance Healthcare Group Virginia, LLC is located at 5700 Lake Wright Dr Ste 409, Norfolk, VA 23502. The listed phone number is (757) 918-7976.

What is Renaissance Healthcare Group Virginia, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Renaissance Healthcare Group Virginia, LLC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.