NPIMap

Organization Active NPI

Renovatis

  • Community/Behavioral Health Agency
  • Omaha, NE
National Provider Identifier
1053691956
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RENOVATIS
Practice address
16920 Patterson Dr
Omaha, NE 68135-2623
Phone
(402) 320-5808
Fax
(402) 502-4319
NPI assigned
Aug 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Mrs. Heather Nina Atwood Heredia, B.A.NPI 1346597937
Title
Owner Ceo
Phone
(402) 320-5808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

16920 Patterson Dr
Omaha, NE 68135-2623

Mailing address

16920 Patterson Dr
Omaha, NE 68135-2623
Phone (402) 320-5808

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1053691956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16920 PATTERSON DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681352623",
            "telephone_number": "402-320-5808",
            "fax_number": "402-502-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16920 PATTERSON DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681352623",
            "telephone_number": "402-320-5808",
            "fax_number": "402-502-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVATIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "ATWOOD HEREDIA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "NINA",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "402-320-5808",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.