Rsl Renaissance, Llc

LBN: Rsl Renaissance, Llc
Rsl Renaissance, Llc is an health care organization with primary practice located at 2772 W Avante Loop , Coeur D Alene ID 83815-0333. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Rsl Renaissance, Llc can be contacted via phone (208) 664-6116, or through Guffee, James via phone (503) 595-2810.

Contact Information

Primary practice address
2772 W Avante Loop Coeur D Alene ID 83815-0333
Phone: (208) 664-6116
Fax: (208) 664-6992
Website:
Map and Directions
Authorized official contact:
Name: Guffee, James
Phone: (503) 595-2810

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1174149991
LBN Legal business name Rsl Renaissance, Llc
DBA Doing business as
Authorized official Guffee, James
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 17th, 2020
Last updated Jun 17th, 2020 - about 6 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 1174149991 NPPES
Idaho Other RC-1190 RESIDENTIAL CARE FACILITY LICENSE
Idaho MEDICAID QMP000005537797 RESIDENTIAL CARE FACILITY LICENSE
Idaho MEDICAID 8S122 RESIDENTIAL CARE FACILITY LICENSE

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