Renaissance Health And Rehabilitation

LBN: 5065 Wallis Road Operations Llc
Renaissance Health And Rehabilitation is an health care organization with primary practice located at 5065 Wallis Rd , West Palm Beach FL 33415-1947. 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. 5065 Wallis Road Operations Llc can be contacted via phone (561) 689-1799, or through Ussery, Kenneth via phone (407) 571-1550.

Contact Information

Primary practice address
5065 Wallis Rd West Palm Beach FL 33415-1947
Phone: (561) 689-1799
Fax: (561) 640-4603
Website:
Map and Directions
Authorized official contact:
Name: Ussery, Kenneth
Phone: (407) 571-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1198096 Florida

Profile Details

NPI number 1891064549
LBN Legal business name 5065 Wallis Road Operations Llc
DBA Doing business as Renaissance Health And Rehabilitation
Authorized official Ussery, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2011
Last updated Nov 27th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891064549 NPPES
Florida MEDICAID 004778700

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