Renaissance Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001493 Issued in CA

Legal business name

RENAISSANCE HEALTHCARE INC

Practice address

750 Terrado Plaza
Suite 119
Covina, CA 91723-3411

Phone

(909) 623-9972

Fax

(909) 623-9970

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Corazon C Apo, BSN

Title

Administrator

Phone

(909) 623-9972

Specialties & licenses 1

Addresses

Other names 1

• St Mary Home Health Doing business as

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1326116385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 TERRADO PLAZA",
            "address_2": "SUITE 119",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233411",
            "telephone_number": "909-623-9972",
            "fax_number": "909-623-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 TERRADO PLAZA",
            "address_2": "SUITE 119",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233411",
            "telephone_number": "909-623-9972",
            "fax_number": "909-623-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "APO",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-623-9972",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Mary Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Thomas Reinoso
• Denise Ann Reiser, RN
• Reliant Medical Transportation Corp.
• Jenica Reliford
• Relivcare Surgery Center
• Leonardo Aedan Rendon
• Pedro Alexis Rendon
• Zeus Albert Jatico Rendon
• Michael Reneau
• Alyssa Rennell, MSW

• Home Health Agency in Covina, CA
• Providers in Covina, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.