Whalio Doctors

NPI 1013617851

Renaissance Grace Services LLC

Organisation Home Health Agency Clarksburg, MD

Practice location

Address
12009 Tregoning Pl, Clarksburg, MD 20871-9365
Phone
(301) 979-8104

Authorised official

Name
Jean-Christophe Noukelak
Title
Administrator
Phone
(301) 979-8104

Registered specialties (7)

Home Health Agency Primary
Agencies Taxonomy 251E00000X
Meals Provider
Other Service Providers Taxonomy 174200000X
PACE Provider Organization
Agencies Taxonomy 251T00000X
Health Maintenance Organization
Managed Care Organizations Taxonomy 302R00000X
Preferred Provider Organization
Managed Care Organizations Taxonomy 305R00000X
Non-emergency Medical Transport (VAN)
Transportation Services Taxonomy 343900000X
Respite Care
Respite Care Facility Taxonomy 385H00000X

Registry record

NPI
1013617851
Entity type
Organization
NPI issued
9 Mar 2023
Record last updated
9 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.