Renaissance East, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RENAISSANCE EAST, LLC

Practice address

7255 E Broadway Rd
Mesa, AZ 85208-9201

Phone

(480) 981-8844

Fax

(480) 324-8362

NPI assigned

Sep 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jay Flatt

Title

Cfo

Phone

(847) 933-2600

Specialties & licenses 1

Addresses

Other names 1

• Springdale East Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1013166602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852089201",
            "telephone_number": "480-981-8844",
            "fax_number": "480-324-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852089201",
            "telephone_number": "480-981-8844",
            "fax_number": "480-324-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "FLATT",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-933-2600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springdale East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.