RENAISSANCE SUPPORTIVE SERVICES INC.
NPI 1457596678
Community/Behavioral Health in Jacksonville, FL

Active since December 03, 2008
10213 RISING MIST LN, JACKSONVILLE, FL 32221(904) 786-6486 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renaissance Supportive Services Inc. NPPES

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

RENAISSANCE SUPPORTIVE SERVICES INC. (NPI 1457596678) is a healthcare organization registered as a community/behavioral health in Jacksonville, Florida and active in the NPI registry since December 2008. The organization lists Latrese Curry Harrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1457596678
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameRENAISSANCE SUPPORTIVE SERVICES INC.
Location Address10213 RISING MIST LNJacksonville, FL 32221-3006
Mailing Address10213 Rising Mist LnJacksonville, FL 32221-3006 · (904) 786-6486
Organization SubpartNo
Authorized OfficialLatrese Curry HarrisonOwner · (904) 786-6486
Enumeration DateDecember 3, 2008
NPI 1457596678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in FL · 690575796
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
10213 RISING MIST LN, Jacksonville, FL 32221

Other Identifiers 1

Medicaid690575796FL

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 Supportive Services Inc.'s NPI number?

The NPI number for Renaissance Supportive Services Inc. is 1457596678. It was assigned to this organization in the NPPES registry on December 3, 2008.

Where is Renaissance Supportive Services Inc. located?

Renaissance Supportive Services Inc. is located at 10213 Rising Mist Ln, Jacksonville, FL 32221. The listed phone number is (904) 786-6486.

What is Renaissance Supportive Services Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Renaissance Supportive Services Inc. was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.