Organization Active NPI

Renaissance Center

  • Assisted Living Facility
  • Chicago, IL
National Provider Identifier
1518154871
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RENAISSANCE CENTER
Practice address
2800 West Fulton
Chicago, IL 60612
Phone
(773) 722-2900
Fax
(773) 722-7662
NPI assigned
Oct 1, 2007
Organization subpart
Yes
Parent organization
PATHWAY SENIOR LIVING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Brian Cloch
Title
Partner
Phone
(847) 768-5114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2800 West Fulton
Chicago, IL 60612

Mailing address

2800 West Fulton
Chicago, IL 60612
Phone (773) 722-2900

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Center2 organizations share this tax ID, including this one
Part of
Pathway Senior Living LLC

Other organizations with this tax ID 1

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1518154871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WEST FULTON",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "773-722-2900",
            "fax_number": "773-722-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WEST FULTON",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "773-722-2900",
            "fax_number": "773-722-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAY SENIOR LIVING LLC",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CLOCH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-768-5114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.