Organization Active NPI

Renaissance Home Health Care

  • Home Health Agency
  • Bedford Heights, OH
National Provider Identifier
1073812202
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RENAISSANCE HOME HEALTH CARE
Practice address
5311 Northfield Rd
212
Bedford Heights, OH 44146-1188
Phone
(216) 662-8729
Fax
(216) 662-8849
NPI assigned
Mar 28, 2011
Last updated
Mar 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Lanetta Massey
Title
Office Manager
Phone
(216) 662-8729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5311 Northfield Rd
212
Bedford Heights, OH 44146-1188

Mailing address

5311 Northfield Rd
212
Bedford Heights, OH 44146-1188
Phone (216) 662-8729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111212000780 OH Part A Provider - Home Health Agency 6305016445 Practice locations: Bedford Heights, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073812202. Details of each certification follow.

Home health agency certification: CCN 368498

Legal name
RENAISSANCE HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 29, 2013
Last certification
Mar 29, 2013
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 27, 2014 in OH
Enrollment address
5311 Northfield Rd 212
Bedford Heights, OH 44146-1111

Care Compare: Home health agency

Medicare Care Compare
Listed as
Renaissance Home Health CareCCN 368498 · All quality measures
Ownership
Proprietary
Certified
Mar 29, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2038997Renaissance Home Health Care5311 Northfield Road, Bedford Heights, OH 44146Certificate of waiverMar 28, 2028

National Provider Directory

National Provider Directory

Locations

5311 Northfield Rd
Ste 212
Bedford Heights, OH 44146
Phone (216) 662-8729

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patricia Eady Individual 5% Or Greater Direct Ownership Interest100 Nov 21, 2005
W-2 Managing Employee Nov 21, 2005

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1073812202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 NORTHFIELD RD",
            "address_2": "212",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461188",
            "telephone_number": "216-662-8729",
            "fax_number": "216-662-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 NORTHFIELD RD",
            "address_2": "212",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461188",
            "telephone_number": "216-662-8729",
            "fax_number": "216-662-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "LANETTA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "216-662-8729"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Heights, OH

Sources for this page

Verify at the official NPI Registry.