Renaissance Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

080000782 Issued in CA

Legal business name

RENAISSANCE HOME HEALTH CARE INC.

Doing business as

Renaissance Home Health

Practice address

3160 Camino del Rio S Ste 312
San Diego, CA 92108-3835

Phone

(619) 285-1505

Fax

(619) 285-1605

NPI assigned

Aug 10, 2005

Last updated

Mar 7, 2013By 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

Mrs. Paula Jean Egbert, RN, MSN

Title

Administrator

Phone

(619) 285-1505

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Renaissance Home Health Doing business as

Locations

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1356343396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 CAMINO DEL RIO S STE 312",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083835",
            "telephone_number": "619-285-1505",
            "fax_number": "619-285-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 CAMINO DEL RIO S STE 312",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083835",
            "telephone_number": "619-285-1505",
            "fax_number": "619-285-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "EGBERT",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-285-1505",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "080000782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08281F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH LICENSE",
            "identifier": "080000782",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anne Renas, MFT
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• Francine Nicole Rendon
• Haylie J Rendon

• Home Health Agency in San Diego, CA
• Providers in San Diego, 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 Mar 7, 2013; 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.