Organization
RENAISSANCE GRACE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN-CHRISTOPHE NOUKELAK SR. (ADMINISTRATOR)
(301) 979-8104
Entity
Organization
Contact information
Practice address
12009 TREGONING PL, CLARKSBURG, MD 20871-9365
(301) 979-8104
Mailing address
12009 TREGONING PL, CLARKSBURG, MD 20871-9365
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us