Renu Respite, LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

License

185443 Issued in NC

Legal business name

RENU RESPITE, LLC

Practice address

10511 Atkins Ridge Dr
Charlotte, NC 28213-4296

Phone

(704) 473-6455

NPI assigned

Nov 22, 2016

Last updated

Jan 3, 2017By 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

Jacqueline Roseboro, AGCNS-BCNPI 1922559244

Title

Clinical Nurse Specialist

Phone

(704) 473-6455

Specialties & licenses 4

Addresses

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.

• Jacqueline Roseboro, AGCNS-BC

  • Adult Health Clinical Nurse Specialist
  • Charlotte, NC
  • NPI 1922559244
  NPD (past) Authorized official

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1295278364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 ATKINS RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134296",
            "telephone_number": "704-473-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 ATKINS RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134296",
            "telephone_number": "704-473-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU RESPITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "ROSEBORO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CLINICAL NURSE SPECIALIST",
        "authorized_official_telephone_number": "704-473-6455",
        "authorized_official_credential": "AGCNS-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "185443",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "185443",
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Louis Rennyson, MD
• Renoptics Inc. (Southpark Optical Center)
• Suzanne Rensberry, LCAS-A
• David Edward Rentz, MD
• Lisa Werkheiser Rentz, MD
• Renuyou
• Kathryn Alexis Repas, PA
• Reproductive Endocrinology Associates of Charlotte
• Reproductive Specialists of the Carolinas
• Rescare Behavior Services, Inc.

• Respite Care in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Respite Care in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.