NPIMap

Organization Active NPI

Renaissance Care Center

  • Oxygen Equipment & Supplies (DME)
  • Canton, IL
National Provider Identifier
1366694267
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0040295 Issued in IL
Legal business name
RENAISSANCE CARE CENTER
Practice address
1675 E Ash St
Canton, IL 61520-1510
Phone
(309) 647-5631
Fax
(309) 641-8957
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Mrs. Katherine J Murphy, MHA
Title
Asst. Controller
Phone
(217) 637-2794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0040295 IL Primary

Addresses

Primary practice location

1675 E Ash St
Canton, IL 61520-1510

Mailing address

1675 E Ash St
Canton, IL 61520-1510
Phone (309) 647-5631

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Care Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1366694267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 E ASH ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615201510",
            "telephone_number": "309-647-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 E ASH ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615201510",
            "telephone_number": "309-647-5631",
            "fax_number": "309-641-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASST. CONTROLLER",
        "authorized_official_telephone_number": "217-637-2794",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "0040295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.