Provider Demographics
NPI:1164398061
Name:RENOVATION ALLIANCE
Entity type:Organization
Organization Name:RENOVATION ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-400-0959
Mailing Address - Street 1:530 8TH ST SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-3506
Mailing Address - Country:US
Mailing Address - Phone:540-400-0959
Mailing Address - Fax:540-400-0959
Practice Address - Street 1:530 8TH ST SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-3506
Practice Address - Country:US
Practice Address - Phone:540-400-0959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable