# RENAISSANCE HEALTHCARE GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pasadena Villa Smoky Mountain Lodge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073753059
- **Authorized official:** BENJAMIN BRADY (CFO)
- **Authorized official phone:** (615) 864-8145

## Contact information

- **Practice address:** 3889 WONDERLAND LN, SEVIERVILLE, TN 37862-8288
- **Practice address phone:** (407) 917-0075
- **Mailing address:** 2600 LAKE LUCIEN DR STE 210, MAITLAND, FL 32751-7275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | L000000020924 | TN | Yes |

## Other

- **Enumeration date:** 03/03/2009
- **Last updated:** 04/06/2026
