Active NPI
West Wharton County Hospital District
Doing business as Renaissance Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Italy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WEST WHARTON COUNTY HOSPITAL DISTRICT
- Doing business as
- Renaissance Rehabilitation and Healthcare Center
- Practice address
- 220 Davenport
Italy, TX 76651-3592 - Phone
- (972) 483-6369
- NPI assigned
- Oct 26, 2020
- Last updated
- Apr 5, 2022
- 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
- David H Mak
- Title
- Cfo
- Phone
- (713) 569-7370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
220 Davenport
Italy, TX 76651-3592
Mailing address
6937 Warfield Ave
Sykesville, MD 21784-7454
Phone (410) 552-4800
Other names 1
- Renaissance Rehabilitation and Healthcare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220526000549 | TX | Part A Provider - Skilled Nursing Facility | 7517952047 | Practice locations: Italy, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1164021689. Details of each certification follow.
Skilled nursing facility certification: CCN 675103
- Legal name
- WEST WHARTON COUNTY HOSPITAL DISTRICT
- Doing business as
- RENAISSANCE REHABILITATION AND HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jul 27, 1992
- Last certification
- Aug 22, 2024
- Beds
- 74
- Ownership / control type
- Hospital District
- Organization structure
- Corporation
- Enrollment address
- 220 Davenport
Italy, TX 76651-3592 - Nursing home name
- RENAISSANCE REHABILITATION AND HEALTHCARE CENTER
- Affiliated entity
- NEXION HEALTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Renaissance Rehabilitation and Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Certified
- Jul 27, 1992
- Medicare certification status
- Active
- Certified beds
- 74
- Chain
- Nexion Health
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 |
|---|---|---|---|
| 45D0880600 | Renaissance Rehabilitation & Healthcare Center | Certificate of waiver | Dec 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- W Wharton County Hospital District D B a Mid Coast Medical Clinic Pal
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinic/Center
- Palacios, TX
- NPI 1184707473
-
dba Lakeside Nursing and Rehabilitation Center
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1023576865
-
dba Avir at Abilene
- Skilled Nursing Facility
- Abilene, TX
- NPI 1023641024
-
dba Twin Pines Nursing and Rehabilitation
- Skilled Nursing Facility
- Victoria, TX
- NPI 1023743028
-
dba The Rio at Mission Trials
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1073082590
-
dba Mullican Wellness & Rehabilitation
- Skilled Nursing Facility
- Savoy, TX
- NPI 1083496061
-
dba Avir at Heritage
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1093273732
-
dba Legacy Point Wellness & Rehabilitation
- Skilled Nursing Facility
- Dallas, TX
- NPI 1093597064
-
dba El Paso Health & Rehabilitation Center
- Skilled Nursing Facility
- El Paso, TX
- NPI 1124352901
-
dba Whitesboro Wellness & Rehabilitation
- Skilled Nursing Facility
- Whitesboro, TX
- NPI 1144002122
-
dba Central Texas Nursing & Rehabilitation
- Skilled Nursing Facility
- Ballinger, TX
- NPI 1154056158
-
dba Groveton Nursing Home
- Skilled Nursing Facility
- Groveton, TX
- NPI 1154287142
Ownership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| Johnny Thompson | Corporate Officer | Jan 5, 2025 | |
| Adp of the SNF | Mar 3, 2026 | ||
| Meera Riner | Operational/Managerial Control | Apr 1, 2022 | |
| John R Fallon | Operational/Managerial Control | Apr 1, 2022 | |
| John T Reid | Operational/Managerial Control | Apr 1, 2022 | |
| Francis Kirley | Operational/Managerial Control | Apr 1, 2022 | |
| Brian Lee | Operational/Managerial Control | Apr 1, 2022 | |
| Nexion Health at Italy, Inc. | Operational/Managerial Control | Apr 1, 2022 | 100% |
| West Wharton County Hospital District | 5% Or Greater Direct Ownership Interest | Apr 1, 2022 | 100% |
| William Herdrich | Operational/Managerial Control | Apr 1, 2022 |
All facility ownership & control disclosures 91
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Lakeside Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2022 |
| Mystic Park Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2022 |
| West Oaks Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Avir at River Ridge | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Avir at Heritage | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Avir at Portland | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Avir at El Paso | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2020 |
| Avir at Abilene | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2020 |
| Rollingbrook Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2021 |
| Brush Country Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2021 |
| Gulf Shores Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| Midlothian Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2024 |
| Prairie Meadows Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| West Houston Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2021 |
| Lakeview Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| Granbury Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Amarillo Center for Skilled Care | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Sterling Hills Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| De Leon Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Sun Valley Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Lone Star Ranch Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Shiner Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Twin Pines North Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Greenhill Villas | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| The Arbors Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Twilight Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Oasis Nursing & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Willow Park Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Southern Specialty Rehab & Nursing | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Marine Creek Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Huebner Creek Health & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| The Hills Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Mineral Wells Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| The Rio at Mission Trails | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| The Premier SNF of Alice | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Franklin Heights Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Silver Tree Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Sienna Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Buena Vida Nursing & Rehab San Antonio | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Apr 1, 2022 Sep 1, 2022 |
| Cypress Creek Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Skilled Care of Mexia | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Care Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Sep 1, 2020 Sep 1, 2020 |
| Concho Health and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Sep 1, 2022 Sep 1, 2022 |
| Devine Health and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Sep 1, 2022 Sep 1, 2021 |
| Bertram Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Amistad Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| San Saba Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Rock Creek Health and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| The Atrium of Bellmead | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Ganado Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Sep 1, 2022 Sep 1, 2022 |
| Shady Oak Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| La Hacienda de Paz Rehabilitation and Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Sep 1, 2022 Sep 1, 2022 |
| Oak Ridge Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2020 |
| Sunflower Park Health Care | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Songbird Lodge | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Matagorda Nursing & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Villa Toscana at Cypress Woods | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Central Texas Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Sep 1, 2022 Sep 1, 2021 |
| Avir at Azalea Heights | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 15, 2022 |
| Five Points at Lake Highlands Nursing and Rehab | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| Treemont Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| Normandy Terrace Nursing & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| Brentwood Terrace Healthcare and Rehabillitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| El Paso Health and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Estates Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Feb 1, 2023 Sep 1, 2023 |
| Five Points Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2023 |
| The Heights on Valley Ranch | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2023 |
| The Enclave | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2023 |
| Park Bend Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2023 |
| Brownwood Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Jul 1, 2023 Jul 1, 2023 |
| Castro County Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Sep 1, 2023 Sep 1, 2023 |
| Buena Vida Nursing & Rehab Odessa | Skilled nursing facility | Direct Ownership Interest (100%) | Aug 1, 2019 |
| Avir at Madisonville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 14, 2023 |
| Avir at Lindale | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Beltline Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Avir at Pilot Point | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| River Bend Healthcare | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2024 |
| Avir at Patriot | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Whitesboro Health & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Dec 1, 2023 Sep 1, 2024 |
| Mustang Park Therapy and Living Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2024 |
| Fair Park Health & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| University Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Grace Pointe Wellness Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Avir at Rose Trail | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Avir at Petal Hill | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2020 |
| Southern Oaks Therapy and Living Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Vintage Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Dec 1, 2023 |
| Mallard Creek Therapy and Living Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Rockwall Nursing Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Avir at Tierra Este | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2025 |
| Avir at Kerrville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2025 |
Facilities with the same owner 90
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba River Bend Healthcare
- Skilled Nursing Facility
- Seguin, TX
- NPI 1245099423
West Wharton County Hospital District
-
dba Normandy Terrace Nursing & Rehabilitation Center
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1003527748
West Wharton County Hospital District
-
dba Estates Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Fort Worth, TX
- NPI 1013628759
West Wharton County Hospital District
-
dba Huebner Creek Health & Rehabilitation Center
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1023443579
West Wharton County Hospital District
-
dba Lakeside Nursing and Rehabilitation Center
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1023576865
West Wharton County Hospital District
-
dba Avir at Abilene
- Skilled Nursing Facility
- Abilene, TX
- NPI 1023641024
West Wharton County Hospital District
-
dba The Rio at Mission Trials
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1073082590
West Wharton County Hospital District
-
dba Avir at Heritage
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1093273732
West Wharton County Hospital District
-
dba Legacy Point Wellness & Rehabilitation
- Skilled Nursing Facility
- Dallas, TX
- NPI 1093597064
West Wharton County Hospital District
-
dba El Paso Health & Rehabilitation Center
- Skilled Nursing Facility
- El Paso, TX
- NPI 1124352901
West Wharton County Hospital District
-
dba Whitesboro Wellness & Rehabilitation
- Skilled Nursing Facility
- Whitesboro, TX
- NPI 1144002122
West Wharton County Hospital District
-
dba Brush Country Nursing and Rehabilitation
- Skilled Nursing Facility
- Austin, TX
- NPI 1144607334
West Wharton County Hospital District
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1477811321
-
- Family Medicine Physician
- Troup, TX
- NPI 1588695423
-
- Internal Medicine Physician
- Ennis, TX
- NPI 1952359622
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649116800000",
"number": "1164021689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6937 WARFIELD AVE",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217847454",
"telephone_number": "410-552-4800",
"fax_number": "410-552-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 DAVENPORT",
"city": "ITALY",
"state": "TX",
"postal_code": "766513592",
"telephone_number": "972-483-6369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST WHARTON COUNTY HOSPITAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-26",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A",
"authorized_official_last_name": "MAK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "713-569-7370"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Renaissance Rehabilitation and Healthcare Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Renaissance Rehabilitation and Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Italy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.