Organization Active NPI

Renascence Personal Care Home LLC

  • Non-emergency Medical Transport (VAN)
  • Houston, TX
National Provider Identifier
1316630296
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
RENASCENCE PERSONAL CARE HOME LLC
Practice address
3845 Cypress Creek Pkwy Ste 350
Houston, TX 77068-3567
Phone
(281) 645-0880
NPI assigned
May 29, 2023
Organization subpart
Yes
Parent organization
RENASCENCE PERSONAL CARE HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Authorized official

Name
Sakima Jules, NREMT-PNPI 1831968155
Title
Owner
Phone
(678) 979-6537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3845 Cypress Creek Pkwy Ste 350
Houston, TX 77068-3567

Mailing address

3210 Tackett Rd
Douglasville, GA 30135-9104

Other names 1

  • Renascence Medical Transport Doing business as

National Provider Directory

National Provider Directory
Part of
Renascence Personal Care Home LLC

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": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1316630296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 TACKETT RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301359104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 CYPRESS CREEK PKWY STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683567",
            "telephone_number": "281-645-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENASCENCE PERSONAL CARE HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENASCENCE PERSONAL CARE HOME",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-27",
        "status": "A",
        "authorized_official_last_name": "JULES",
        "authorized_official_first_name": "SAKIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-979-6537",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renascence Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.