Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renaissance Grace Services LLC

Organization Meals Provider · NPI 1013617851

Renaissance Grace Services LLC is a Meals Provider in Clarksburg, Maryland. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12009 Tregoning Pl
Clarksburg, MD 20871-9365
Phone: (301) 979-8104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Meals Provider Taxonomy 174200000X
PACE Provider Organization Taxonomy 251T00000X
Health Maintenance Organization Taxonomy 302R00000X
Preferred Provider Organization Taxonomy 305R00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1013617851
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean-Christophe Noukelak — Administrator · (301) 979-8104
NPI enumeratedMarch 9, 2023
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023
Mailing address12009 Tregoning Pl, Clarksburg, MD 20871-9365