Renaissance Assisted Living
Organization Active NPI Assisted Living Facility · Laveen, AZ
NPI 1013244037 · NPPES record last updated Nov 12, 2009
Key facts
- NPI
- 1013244037
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AL7740H (AZ)
- Legal business name
- RENAISSANCE ASSISTED LIVING
- Practice address
- 4409 W Coplan Farms Rd
Laveen, AZ 85339-7132 - Phone
- (602) 999-7685
- NPI assigned
- Nov 12, 2009
- Organization subpart
- No
Authorized official
- Name
- Sebastian Smith, RN
- Title
- Owner
- Phone
- (602) 999-7685
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL7740H | AZ | Yes |
Addresses
Primary practice location
4409 W Coplan Farms Rd
Laveen, AZ 85339-7132
Mailing address
4409 W Coplan Farms Rd
Laveen, AZ 85339-7132
Phone (602) 999-7685
Other providers in Laveen, AZ
- Venesha L Rainwater
- Ready4Life Behavioral Health & Counseling LLC
- Ready4Life Behavioral Health & Counseling LLC
- Della Rae Regenwether
- Billye Jo Reid-Ocampo
- Ngabho Richard
- Richmond Manor Adult Care
- Righteous Path Care Homes LLC
- Rise Recovery Partners LLC
- Rising Sun Occupational Therapy PLLC
All providers in Laveen, AZ · Assisted Living Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.