Active NPI
Renaissance Home Health Care
- Home Health Agency
- Bedford Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Ownership
- Proprietary
- Certified
- Mar 29, 2013
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2038997 | Renaissance Home Health Care | Certificate of waiver | Mar 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Patricia Eady | 5% Or Greater Direct Ownership Interest | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.