Renaissance Village

LBN: Renaissance Health Care Llc
Renaissance Village is an health care organization with primary practice located at 6050 S 800 E-92 , Fort Wayne IN 46814-9201. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Renaissance Health Care Llc can be contacted via phone (260) 625-3545, or through Mills, Deb I via phone (260) 625-3545.

Contact Information

Primary practice address
6050 S 800 E-92 Fort Wayne IN 46814-9201
Phone: (260) 625-3545
Fax: (260) 625-3328
Website:
Map and Directions
Authorized official contact:
Name: Mills, Deb I
Phone: (260) 625-3545

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 050002151 Indiana

Profile Details

NPI number 1518939404
LBN Legal business name Renaissance Health Care Llc
DBA Doing business as Renaissance Village
Authorized official Mills, Deb I
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2006
Last updated Nov 18th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518939404 NPPES
Indiana MEDICAID 100267600A

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