Organization Active NPI

Renaissance Specialty Hospital of Central Indiana Operations Co LLC

  • Special Hospital
  • Muncie, IN
National Provider Identifier
1235150418
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO LLC
Practice address
2401 University Ave 8TH Floor North Tower
Muncie, IN 47303-3428
Phone
(765) 282-5822
Fax
(765) 289-5170
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Mr. Ryan M. Ott
Title
Coo - Chief Operation Officer
Phone
(765) 282-8775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X IN
Special Hospital 284300000X Primary

Addresses

Primary practice location

2401 University Ave 8TH Floor North Tower
Muncie, IN 47303-3428

Mailing address

2401 University Ave 8TH Floor North Tower
Muncie, IN 47303-3428
Phone (765) 282-5822

Other identifiers 2

IdentifierTypeStateIssuer
200509740MedicaidIN
200522670MedicaidIN

Other names 1

  • Renaissance Specialty Hospital Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1235150418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY AVE 8TH FLOOR NORTH TOWER",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-282-5822",
            "fax_number": "765-289-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY AVE 8TH FLOOR NORTH TOWER",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-282-5822",
            "fax_number": "765-289-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "COO - CHIEF OPERATION OFFICER",
        "authorized_official_telephone_number": "765-282-8775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509740",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200522670",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.