Organization Active NPI

Renaissance Home Health Services

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1275765885
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001605 Issued in CA
Legal business name
RENAISSANCE HOME HEALTH SERVICES
Practice address
819 S Alvarado St
Suite 102
Los Angeles, CA 90057-4075
Phone
(213) 252-8981
Fax
(213) 252-8214
NPI assigned
Aug 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Victor G Camandang, LVN
Title
Office Manager
Phone
(213) 252-8981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001605 CA Primary

Addresses

Primary practice location

819 S Alvarado St
Suite 102
Los Angeles, CA 90057-4075

Mailing address

819 S Alvarado St
Suite 102
Los Angeles, CA 90057-4075
Phone (213) 252-8981

National Provider Directory

National Provider Directory

Locations

819 S Alvarado St
Ste 102
Los Angeles, CA 90057
Phone (213) 252-8981

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1275765885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S ALVARADO ST",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574075",
            "telephone_number": "213-252-8981",
            "fax_number": "213-252-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S ALVARADO ST",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574075",
            "telephone_number": "213-252-8981",
            "fax_number": "213-252-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "CAMANDANG",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-252-8981",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.