Renaissance Village, Inc.

LBN: Renaissance Village, Inc.
Renaissance Village, Inc. is an health care organization with primary practice located at 27900 Brodiaea Ave , Moreno Valley CA 92555-5700. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Renaissance Village, Inc. can be contacted via phone (951) 379-0100, or through Davis, Latonya via phone (951) 379-0100.

Contact Information

Primary practice address
27900 Brodiaea Ave Moreno Valley CA 92555-5700
Phone: (951) 379-0100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Latonya Licensed Visiting Nurse (LVN)
Phone: (951) 379-0100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X

Profile Details

NPI number 1780256123
LBN Legal business name Renaissance Village, Inc.
DBA Doing business as
Authorized official Davis, Latonya Licensed Visiting Nurse (LVN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2021
Last updated Jul 14th, 2021 - about 3 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.

Request for update

Popular Providers