Active NPI
Renascence Personal Care Home LLC
- Non-emergency Medical Transport (VAN)
- Houston, TX
National Provider Identifier
1316630296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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 HOME
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sakima Jules, NREMT-P
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
- Adult Care Home Facility
- Katy, TX
- NPI 1831968155
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.