Renaissance Healthcare Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RENAISSANCE HEALTHCARE GROUP, LLC

Practice address

4975 Albany Post Rd
Staatsburg, NY 12580-6032

Phone

(845) 889-4500

NPI assigned

Aug 30, 2018

Last updated

Dec 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Koschitzki

Title

Manager

Phone

(845) 499-1499

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164904769. Details of each certification follow.

• CCN 335404 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335404

Legal name

RENAISSANCE HEALTHCARE GROUP LLC

Doing business as

RENAISSANCE REHABILITATION AND NURSING CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1973

Last certification

Sep 13, 2024

Beds

120

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Hudsonwide Healthcare

Organization structure

LLCProprietary

Incorporated

Nov 26, 2014 in NY

Enrollment address

4975 Albany Post Rd
Staatsburg, NY 12580-6032

Nursing home name

RENAISSANCE REHABILITATION AND NURSING CARE CENTER

Listed as

Renaissance Rehabilitation And Nursing Care CenterCCN 335404 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Dec 1, 1973

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120105.7 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Practitioners 1

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.

• Deepesh S Patel, M.D.

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1720022486
  NPD (past)

Affiliated clinicians 1

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

• Deepesh S Patel, M.D.

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1720022486

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1164904769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 5TH AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 ALBANY POST RD",
            "city": "STAATSBURG",
            "state": "NY",
            "postal_code": "125806032",
            "telephone_number": "845-889-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "KOSCHITZKI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-499-1499"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Maj O'Connor, M.S. CCC-SLP
• Robert O'Hare, BCBA
• Wendy R. Parish, M.D.
• Alissa Petrocelli, COTA
• Carmen L Region, LPN
• Geraldine Mary Rockett, PH.D.
• Caeley Elizabeth Rowe
• Delilah Gia Sirjoo
• Zakimec D Taylor, LPN
• Ivana Trellova, BCBA

• Skilled Nursing Facility in Staatsburg, NY
• Providers in Staatsburg, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.