Provider Demographics
NPI:1912014861
Name:RENEWAL HOUSE INC.
Entity Type:Organization
Organization Name:RENEWAL HOUSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-255-5222
Mailing Address - Street 1:PO BOX 280356
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-0356
Mailing Address - Country:US
Mailing Address - Phone:615-255-5222
Mailing Address - Fax:615-255-4090
Practice Address - Street 1:3410 CLARKSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37218-2654
Practice Address - Country:US
Practice Address - Phone:615-255-5222
Practice Address - Fax:615-255-4090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTNPL568499Medicaid