Renaissance Physical Therapy Llc

LBN: Renaissance Physical Therapy Llc
Renaissance Physical Therapy Llc is an health care organization with primary practice located at 30200 Schoenherr , Warren MI 48093. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Renaissance Physical Therapy Llc can be contacted via phone (586) 775-5267, or through Malik, Rahat via phone (586) 775-5267.

Contact Information

Primary practice address
30200 Schoenherr Warren MI 48093
Fax: (586) 775-2331
Website:
Authorized official contact:
Name: Malik, Rahat

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1396770400
LBN Legal business name Renaissance Physical Therapy Llc
DBA Doing business as
Authorized official Malik, Rahat
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396770400 NPPES
Michigan MEDICAID 4792395
Michigan Other 71010000030669

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