Organization Active NPI

Renaissance Health Group Inc

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1124393541
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RENAISSANCE HEALTH GROUP INC
Practice address
3830 W Humphrey St
Tampa, FL 33614-1955
Phone
(813) 658-3670
Fax
(813) 931-1999
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Roger Pupo
Title
President
Phone
(813) 658-3670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3830 W Humphrey St
Tampa, FL 33614-1955

Mailing address

3830 W Humphrey St
Tampa, FL 33614-1955
Phone (813) 658-3670

National Provider Directory

National Provider Directory

Locations

4311 W Waters Ave
Ste 205
Tampa, FL 33614
Phone (813) 298-9740

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1124393541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 W HUMPHREY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141955",
            "telephone_number": "813-658-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W HUMPHREY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141955",
            "telephone_number": "813-658-3670",
            "fax_number": "813-931-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "PUPO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-658-3670"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.