Organization Active NPI

Renaissance Assisted Living LLC

  • Assisted Living Facility
  • Deerfield Beach, FL
National Provider Identifier
1457445264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
8697 Issued in FL
Legal business name
RENAISSANCE ASSISTED LIVING LLC
Doing business as
The Renaissance
Practice address
1050 SW 24TH Avenue
Deerfield Beach, FL 33442-8707
Phone
(954) 360-7667
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Morton J Gelberd
Title
President MG Assisted Living Inc
Phone
(561) 964-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 8697 FL Primary

Addresses

Primary practice location

1050 SW 24TH Avenue
Deerfield Beach, FL 33442-8707

Mailing address

5100 Cresthaven Blvd
In Care of Cresthaven East LLC
West Palm Beach, FL 33415-8618
Phone (561) 964-2828

Other names 1

  • The Renaissance Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457445264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 CRESTHAVEN BLVD",
            "address_2": "IN CARE OF CRESTHAVEN EAST LLC",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334158618",
            "telephone_number": "561-964-2828",
            "fax_number": "561-357-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SW 24TH AVENUE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428707",
            "telephone_number": "954-360-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GELBERD",
        "authorized_official_first_name": "MORTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT MG ASSISTED LIVING INC",
        "authorized_official_telephone_number": "561-964-2828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Renaissance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.