Organization Active NPI

Renaissance Medical Staffing, LLC

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1316000623
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RENAISSANCE MEDICAL STAFFING, LLC
Practice address
8201 Traders Hollow CT
Indianapolis, IN 46278-1297
Phone
(317) 293-1976
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Nicholas Omolo Blasio
Title
Cpa & Cfo
Phone
(317) 293-1976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8201 Traders Hollow CT
Indianapolis, IN 46278-1297

Mailing address

3265 Fiddleaf Way
Lakeland, FL 33811
Phone (317) 293-1976

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316000623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 FIDDLEAF WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33811",
            "telephone_number": "317-293-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 TRADERS HOLLOW CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781297",
            "telephone_number": "317-293-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MEDICAL STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLASIO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "OMOLO",
        "authorized_official_title_or_position": "CPA & CFO",
        "authorized_official_telephone_number": "317-293-1976",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.