Renaissance Home Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RENAISSANCE HOME HEALTHCARE SERVICES, INC.

Practice address

27241 Nantucket Dr
Suite 101
Southfield, MI 48076-4804

Phone

(313) 330-0393

NPI assigned

May 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Egerton Okoyama Abulu, PH.D, MBA, M.SC,

Title

President

Phone

(313) 330-1194

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Home health agency certification: CCN 239140

Legal name

RENAISSANCE HOME HEALTHCARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 19, 2010

Last certification

Jun 6, 2013

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 15, 2008 in MI

Enrollment address

30445 Northwestern Hwy
Ste 120
Farmington Hills, MI 48334-3174
HHA Branch

Listed as

Renaissance Home Healthcare ServicesCCN 239140

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Aug 19, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Uaye Juliet Abai, BSC, BSN, RN, FNP

  • Family Nurse Practitioner
  • West Bloomfield, MI
  • NPI 1457460222

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Uaye Juliet Abai, BSC, BSN, RN, FNP

  • Family Nurse Practitioner
  • West Bloomfield, MI
  • NPI 1457460222
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Leonard Eugene Ellison Jr., MD

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1679575328

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1144454281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27241 NANTUCKET DR",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764804",
            "telephone_number": "313-330-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27241 NANTUCKET DR",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764804",
            "telephone_number": "313-330-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HOME HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "ABULU",
        "authorized_official_first_name": "EGERTON",
        "authorized_official_middle_name": "OKOYAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-330-1194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, MBA, M.SC,"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.

Verify at the official NPI Registry.