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RENEW BOUTIQUE AND SPA
NPI 1932643673
Prosthetic/Orthotic Supplier in Kettering, OH

Active since December 15, 2016
3700 SOUTHERN BLVD, KETTERING, OH 45429(937) 281-3855 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2024, Dec 15, 2023, Mar 28, 2023 and 5 more (8 updates tracked since 2016).

About Renew Boutique And Spa NPPES

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

RENEW BOUTIQUE AND SPA (NPI 1932643673) is a healthcare organization registered as a prosthetic/orthotic supplier in Kettering, Ohio and active in the NPI registry since December 2016. The organization lists Timothy Ko, Kettering Health Cfo, as its authorized official.

NPPES Registry Identity

NPI1932643673
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameKETTERING INTEGRATED SERVICES LLC
Location Address3700 SOUTHERN BLVDKettering, OH 45429-1226
Mailing Address2110 Leiter RdMiamisburg, OH 45342-3598 · (937) 914-7601
Phone(937) 281-3855
Organization SubpartNo
Authorized OfficialTimothy KoKettering Health Cfo · (937) 558-3223
Enumeration DateDecember 15, 2016
Last NPPES UpdateAugust 2, 20248 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1932643673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
3700 SOUTHERN BLVD, Kettering, OH 45429
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Other Names 1

Doing Business AsRenew Boutique And Spa

Other Identifiers 1

Medicaid0234746OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Renew Boutique And Spa carries, from the Medicare DMEPOS supplier directory.

Renew Boutique And Spa

DMEPOS supplier · Kettering, OHOperated by Kettering Integrated Services LLC
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Does not accept Medicare assignment

Renew Boutique And Spa has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20461505
Medicare Participant SinceMay 31, 2017
Supplier Location3700 Southern BlvdKettering, OH 45429
Phone(937) 281-3855
Supplier Specialties
MSC With Orthotic-Prosthetic Prosthetic Personnel

Medicare Product Categories

Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Lymphedema Compression Treatment Items
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

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

MATTHEW WILLOUGHBY
Pharmacist
3700 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 281-9658
JAMES KEVIN BLACKBURN RPH
Pharmacist
3700 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 458-4932
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
3700 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 458-3271
DR. CODY BURGER PHARMD, BCSCP
Pharmacist (Compounded Sterile Preparations)
3700 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 281-3800
KATLYN ROBISON NP
Nurse Practitioner (Family)
3700 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 281-3800
ASHANTICE KENYANA HIGGINS MD
Internal Medicine (Hematology & Oncology)
3700 SOUTHERN BLVD, SUITE 401
KETTERING, OH 45429
Montgomery County (855) 500-2873
ERIN BONANNI
Pharmacist
3700 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (855) 500-2873
STEPHANIE J. WALCHLI PHARMD
Pharmacist
3700 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 281-3883

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 Kettering Integrated Services LLC's NPI number?

The NPI number for Kettering Integrated Services LLC is 1932643673. It was assigned to this organization in the NPPES registry on December 15, 2016. The provider is doing business as Renew Boutique And Spa.

Where is Kettering Integrated Services LLC located?

Kettering Integrated Services LLC is located at 3700 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 281-3855.

What is Kettering Integrated Services LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Kettering Integrated Services LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Renew Boutique And Spa does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Kettering Integrated Services LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Kettering Integrated Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kettering Integrated Services LLC was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.