Renaissance Medical Llc
LBN: Renaissance Medical Llc
Renaissance Medical Llc is an health care organization with primary practice located at 4530 Bishop Ln Suite 100, Louisville KY 40218-4561. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Renaissance Medical Llc can be contacted via phone (502) 961-8560, or through Graham, James C via phone (606) 878-0453.
Contact Information
Primary practice address
4530 Bishop Ln Suite 100
Louisville KY 40218-4561
Phone: (502) 961-8560
Fax: (606) 878-1862
Website:
Authorized official contact:
Name: Graham, James C Registered Respiratory Therapist (RRT)
Phone: (606) 878-0453
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | HME00021 | Kentucky |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | MG0190 | Kentucky |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | ||
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X |
Profile Details
| NPI number | 1982606851 |
|---|---|
| LBN Legal business name | Renaissance Medical Llc |
| DBA Doing business as | |
| Authorized official | Graham, James C Registered Respiratory Therapist (RRT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jun 2nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982606851 | NPPES |
| Other | 164438 | IN STATE DEPT HLTH CSH | |
| Other | S864 | IN STATE DEPT HLTH CSH | |
| Other | 2196098 | IN STATE DEPT HLTH CSH | |
| Other | 040021100 | IN STATE DEPT HLTH CSH | |
| Other | 119010 | IN STATE DEPT HLTH CSH | |
| Other | C82008 | IN STATE DEPT HLTH CSH | |
| Other | 110110 | IN STATE DEPT HLTH CSH | |
| Other | 228579 | IN STATE DEPT HLTH CSH | |
| Other | 006895400 | IN STATE DEPT HLTH CSH | |
| Other | 26404V2111 | IN STATE DEPT HLTH CSH | |
| MEDICAID | 7100165610 | IN STATE DEPT HLTH CSH | |
| Other | C82003 | IN STATE DEPT HLTH CSH | |
| Other | 000000070422 | IN STATE DEPT HLTH CSH | |
| MEDICAID | 7100166520 | IN STATE DEPT HLTH CSH | |
| Other | 822271 | IN STATE DEPT HLTH CSH | |
| Other | 1079739 | IN STATE DEPT HLTH CSH | |
| Other | 1171574 | IN STATE DEPT HLTH CSH |
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