KILPATRICK RENAISSANCE
NPI 1629721816
Community/Behavioral Health in Chicago, IL

Q: What is Kilpatrick Renaissance's NPI number?

The NPI number for Kilpatrick Renaissance is 1629721816. It was assigned to this organization in the NPPES registry on January 28, 2022.

Q: What is Kilpatrick Renaissance's specialty?

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

Active since January 28, 2022

4655 W BERTEAU AVE, CHICAGO, IL 60641(773) 645-8900 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kilpatrick Renaissance NPPES

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

KILPATRICK RENAISSANCE (NPI 1629721816) is a healthcare organization registered as a community/behavioral health in Chicago, Illinois and active in the NPI registry since January 2022. The organization lists Michael Banghart, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629721816

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameKILPATRICK RENAISSANCE

Location Address4655 W BERTEAU AVEChicago, IL 60641-2647

Mailing Address2501 W Washington Blvd Ste 401Chicago, IL 60612-2127

Phone(773) 645-8900

Organization SubpartYesParent: Renaissance Social Services, Inc.

Authorized OfficialMichael BanghartExecutive Director · (773) 645-8900

Enumeration DateJanuary 28, 2022

NPPES CertifiedJanuary 28, 2022

✔ NPI 1629721816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

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.

Also ListedCase ManagementTaxonomy 251B00000X

4655 W BERTEAU AVE, Chicago, IL 60641

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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 Kilpatrick Renaissance's NPI number?

The NPI number for Kilpatrick Renaissance is 1629721816. It was assigned to this organization in the NPPES registry on January 28, 2022.

Where is Kilpatrick Renaissance located?

Kilpatrick Renaissance is located at 4655 W Berteau Ave, Chicago, IL 60641. The listed phone number is (773) 645-8900.

What is Kilpatrick Renaissance'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 Kilpatrick Renaissance was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.