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RENAISSANCE RECOVERY, LLC
NPI 1891216511
Clinic/Center - Rehabilitation, Substance Use Disorder in Fountain Valley, CA

Active since July 03, 2017CLIA Certified · 2 labs
10175 SLATER AVENUE SUITE 111, FOUNTAIN VALLEY, CA 92708(203) 450-8824 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2026, Sep 19, 2025, Oct 16, 2017 and 1 more (4 updates tracked since 2017).

About Renaissance Recovery, Llc NPPES

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

RENAISSANCE RECOVERY, LLC (NPI 1891216511) is a healthcare organization registered as a rehabilitation, substance use disorder in Fountain Valley, California and active in the NPI registry since July 2017. The organization holds 2 active CLIA laboratory certificates and lists Jamie Courtney, Human Resources, as its authorized official.

NPPES Registry Identity

NPI1891216511
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameRENAISSANCE RECOVERY, LLC
Location Address10175 SLATER AVENUE SUITE 111Fountain Valley, CA 92708-9270
Mailing Address10175 Slater Ave Ste 200Fountain Valley, CA 92708-4702
Phone(203) 450-8824
Organization SubpartNo
Authorized OfficialJamie CourtneyHuman Resources · (949) 467-4801
Enumeration DateJuly 3, 2017
Last NPPES UpdateFebruary 6, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1891216511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
10175 SLATER AVENUE SUITE 111, Fountain Valley, CA 92708
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Other Identifiers 1

Other201716410068CA · Out Of Network Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 05D2140422

Renaissance Recovery, LLC · Fountain Valley, CA
Active · expires Nov 20, 2027
CLIA Number05D2140422
Laboratory TypeSud Facility
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorDr. Randall G. Turner
Laboratory Phone(702) 354-6413
Laboratory LocationRenaissance Recovery, LLC10175 Slater Ave, Ste 200, Fountain Valley, CA 92708
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2305132

Renaissance Recovery Florida LLC · Lake Worth Beach, FL
Active · expires May 23, 2028
CLIA Number10D2305132
Laboratory TypeBehavioral Healthcare Fac
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorJeffrey M. Bishop
Laboratory Phone(949) 467-4801
Laboratory LocationRenaissance Recovery Florida LLC410 Lake Osborne Dr, Lake Worth Beach, FL 33461
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Recovery, LLC's NPI number?

The NPI number for Renaissance Recovery, LLC is 1891216511. It was assigned to this organization in the NPPES registry on July 3, 2017.

Where is Renaissance Recovery, LLC located?

Renaissance Recovery, LLC is located at 10175 Slater Avenue Suite 111, Fountain Valley, CA 92708. The listed phone number is (203) 450-8824.

What is Renaissance Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Renaissance Recovery, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Renaissance Recovery, LLC was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.