NPIMap

Organization Active NPI

Renaissance Care Inc

  • In Home Supportive Care Agency
  • Morgantown, WV
National Provider Identifier
1104941921
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RENAISSANCE CARE INC
Practice address
219 Hartman Run Rd
Morgantown, WV 26505-5377
Phone
(304) 292-6880
Fax
(304) 292-6881
NPI assigned
Mar 20, 2007
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Mrs. Rebecca M DeemNPI 1205616950
Title
Executive Director
Phone
(304) 292-6880

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2804009000 WV
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

219 Hartman Run Rd
Morgantown, WV 26505-5377

Mailing address

PO Box 745
Dellslow, WV 26531-0745
Phone (304) 292-6880

Other identifiers 1

IdentifierTypeStateIssuer
2804009000MedicaidWV

National Provider Directory

National Provider Directory

Locations

219 Hartman Run Rd
Morgantown, WV 26505
Phone (304) 292-6880

195 W Main St
Salem, WV 26426
Phone (304) 782-2190

Practitioners & affiliated clinicians

Practitioners 133

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 133

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1104941921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "DELLSLOW",
            "state": "WV",
            "postal_code": "265310745",
            "telephone_number": "304-292-6880",
            "fax_number": "304-292-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 HARTMAN RUN RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055377",
            "telephone_number": "304-292-6880",
            "fax_number": "304-292-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "DEEM",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-292-6880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "2804009000",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2804009000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.