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RENAISSANCE ADULT MEDICAL CENTER
NPI 1275706020
Clinic/Center - Adult Day Care in Pikesville, MD

Active since April 11, 2008CLIA 21D2232898 · Waiver
1017 REISTERSTOWN RD, PIKESVILLE, MD 21208(410) 580-9301(410) 580-9305 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Renaissance Adult Medical Center NPPES

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

RENAISSANCE ADULT MEDICAL CENTER (NPI 1275706020) is a healthcare organization registered as an adult day care in Pikesville, Maryland and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Joseph Shparga, President, as its authorized official.

NPPES Registry Identity

NPI1275706020
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameJETD
Location Address1017 REISTERSTOWN RDPikesville, MD 21208-4207
Mailing Address1915 Maryland AveBaltimore, MD 21218-5916 · (410) 528-8730 · Fax (410) 528-8733
Phone(410) 580-9301
Fax(410) 580-9305
Organization SubpartNo
Authorized OfficialJoseph ShpargaPresident · (410) 528-8730
Enumeration DateApril 11, 2008
✔ NPI 1275706020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
1017 REISTERSTOWN RD, Pikesville, MD 21208
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Other Names 1

Doing Business AsRenaissance Adult Medical Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2232898

Renaissance Adult Medical Center · Pikesville, MD
Active · expires Aug 17, 2027
CLIA Number21D2232898
Laboratory TypeMedical Adult Day Care
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorKhatuna Kutchava
Laboratory Phone(443) 220-5355
Laboratory LocationRenaissance Adult Medical Center1017 Reisterstown Road, Pikesville, MD 21208
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENAISSANCE ADULT MEDICAL CENTER INC
Clinic/Center (Adult Day Care)
1017 REISTERSTOWN RD
PIKESVILLE, MD 21208
Baltimore County (410) 580-9301

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 Jetd's NPI number?

The NPI number for Jetd is 1275706020. It was assigned to this organization in the NPPES registry on April 11, 2008. The provider is doing business as Renaissance Adult Medical Center.

Where is Jetd located?

Jetd is located at 1017 Reisterstown Rd, Pikesville, MD 21208. The listed phone number is (410) 580-9301.

What is Jetd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Jetd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2232898) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jetd was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.