Renaissance Medical Group, LLC
Community/Behavioral Health in Southbridge, Massachusetts
1144106667- Practice location
- 11-15 Sandersdale Road, Southbridge, MA 01550-2855
- Phone
- 774-420-2311
- Fax
- 508-519-0763
- Last updated
- August 12, 2025
Renaissance Medical Group, LLC is a healthcare organization based in Southbridge, MA. Renaissance Medical Group, LLC practices in Southbridge, MA. The NPI Number for Renaissance Medical Group, LLC is 1144106667. The current practice location address for Renaissance Medical Group, LLC is 11-15 Sandersdale Road, Southbridge, MA 01550-2855 and can be reached out via phone at 774-420-2311 and via fax at 508-519-0763.
Provider Profile Details
- NPI Number
- 1144106667
- Provider Name
- Renaissance Medical Group, LLC
- Provider Entity Type
- Organization
- Address
- 11-15 Sandersdale Road, Southbridge, MA 01550-2855
- Phone Number
- 774-420-2311
- Fax Number
- 508-519-0763
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Jesus D Suarez · Owner/ Ceo · 774-420-2311
- Other Names
- Renaissance Medical Group (Doing Business As)
- Provider Enumeration Date
- August 12, 2025
- Last Update Date
- August 12, 2025
- Certification Date
- August 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11-15 Sandersdale Road
Southbridge, MA 01550-2855 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-2855
- Phone Number
- 774-420-2311
- Fax Number
- 508-519-0763
Provider Business Mailing Address Details
- Address
- 11-15 Sandersdale Road
Southbridge, MA 01550-2855 - City
- Southbridge
- State
- MA
- Zip
- 01550-2855
- Phone Number
- 774-420-2311
- Fax Number
- 508-519-0763
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Meals · 174200000X
- Taxonomy (3)
- Clinic/Center, Multi-Specialty · 261QM1300X
- Taxonomy (4)
- Clinic/Center, Medical Specialty · 261QM2500X
- Taxonomy (5)
- Home Health · 251E00000X
- Taxonomy (6)
- Pharmacy · 333600000X
- Taxonomy (7)
- Clinic/Center, Adult Day Care · 261QA0600X
- Taxonomy (8)
- Transportation Network Company · 342000000X
- Taxonomy (9)
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Renaissance Medical Group, LLC?
The NPI number of Renaissance Medical Group, LLC is 1144106667. It was assigned on August 12, 2025 and is currently active in the NPPES registry.
What is the specialty of Renaissance Medical Group, LLC?
Renaissance Medical Group, LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Renaissance Medical Group, LLC practice?
The practice location is 11-15 Sandersdale Road, Southbridge, MA 01550-2855. The office can be reached at 774-420-2311 (phone) or 508-519-0763 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144106667 directly on the NPPES registry website.