The Renaissance Park South, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0049098 Issued in IL

Legal business name

THE RENAISSANCE PARK SOUTH, LLC

Practice address

10935 S Halsted St
Chicago, IL 60628-3127

Phone

(773) 928-2000

NPI assigned

Apr 27, 2011

Organization subpart

No

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

Authorized official

Name

Emily Kopsias

Title

Director of Resident Acct & Billing

Phone

(847) 745-6226

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1255622023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121810",
            "telephone_number": "847-933-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283127",
            "telephone_number": "773-928-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RENAISSANCE PARK SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "KOPSIAS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DIRECTOR OF RESIDENT ACCT & BILLING",
        "authorized_official_telephone_number": "847-745-6226"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "0049098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Rehabilitation Institute of Chicao
• The Relationship Institute (El Instituto Relacional)
• The Renaissance at 87TH Street Inc
• The Renaissance at South Shore, Inc (Renaissance at South Shore)
• The Renaissance Center I (TRC)
• The Resilience Center, LLC
• The Royal Family Corporation
• The Salvation Army Family and Community Services
• The Salvation Army Family and Community Services
• The Salvation Army Family and Community Services

• Oxygen Equipment & Supplies (DME) in Chicago, IL
• Providers in Chicago, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.