RSL Renaissance, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RSL RENAISSANCE, LLC

Doing business as

The Renaissance at Coeur D'Alene

Practice address

2772 W Avante Loop
Coeur D Alene, ID 83815-0333

Phone

(208) 664-6116

Fax

(208) 664-6992

NPI assigned

Jun 17, 2020

Last updated

Jun 17, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

RADIANT COMPANIES, INC.As reported in NPPES

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

Authorized official

Name

James Guffee

Title

President of Manager

Phone

(503) 595-2810

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• THE RENAISSANCE AT COEUR D'ALENE Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1174149991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 SW GREENBURG RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235505",
            "telephone_number": "503-595-2810",
            "fax_number": "503-595-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 W AVANTE LOOP",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838150333",
            "telephone_number": "208-664-6116",
            "fax_number": "208-664-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSL RENAISSANCE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIANT COMPANIES, INC.",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "GUFFEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGER",
        "authorized_official_telephone_number": "503-595-2810"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CARE FACILITY LICENSE",
            "identifier": "RC-1190",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8S122",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QMP000005537797",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE RENAISSANCE AT COEUR D'ALENE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devin Daniel Rourke, DDS
• Teri Renee Rouse, FNP-C
• Robin Rowland, OTRL
• Luann Roy, NMD
• Tina Marie Rozniewski, CPSS
• Natahlia Joy Rubin-Baechler, LMSW
• Tracy Rudd-Heilig
• Darcy Dee Ruffo, PMHNP-BC
• Angela Sarah Rummell, DPT
• Kristin Michele Rupinski, B.A., Q.P., C.M.

• Assisted Living Facility in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.