Organization Active NPI

Renaissance Home Health Services, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1528657483
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RENAISSANCE HOME HEALTH SERVICES, INC.
Practice address
512 E Wilson Ave Ste 203
Glendale, CA 91206-4351
Phone
(213) 252-8981
Fax
(800) 486-4501
NPI assigned
Jan 14, 2021
Last updated
Jan 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Mrs. Jonilyn Umali, RN
Title
Ceo, Cfo
Phone
(213) 252-8981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

512 E Wilson Ave Ste 203
Glendale, CA 91206-4351

Mailing address

512 E Wilson Ave Ste 203
Glendale, CA 91206-4351
Phone (213) 252-8981

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@rhhsinc.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211006000080 CA Part A Provider - Home Health Agency 6406254416 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528657483. Details of each certification follow.

Home health agency certification: CCN 059050

Legal name
RENAISSANCE HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 23, 2008
Last certification
Aug 1, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
512 E Wilson Ave
Ste 203
Glendale, CA 91206-4351

Care Compare: Home health agency

Medicare Care Compare
Listed as
Renaissance Home Health ServicesCCN 059050 · All quality measures
Ownership
Proprietary
Certified
Dec 23, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2266974Renaissance Home Health Services, Inc512 E Wilson Ave Ste 203, Glendale, CA 91206Certificate of waiverAug 17, 2026

National Provider Directory

National Provider Directory

Locations

512 E Wilson Ave
Ste 203
Glendale, CA 91206
Phone (213) 252-8981

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jonilyn Umali Individual 5% Or Greater Direct Ownership InterestOwner Aug 1, 2020 50%
Corporate OfficerCeo Aug 1, 2020 50%
Corporate DirectorCeo Aug 1, 2020 50%
W-2 Managing Employee Aug 1, 2020 50%
Operational/Managerial ControlCeo Aug 1, 2020 50%
Christopher Umali Individual 5% Or Greater Direct Ownership InterestOwner Aug 1, 2020 50%
Corporate OfficerSecretary Aug 1, 2020 50%
Corporate DirectorSecretary Aug 1, 2020 50%
W-2 Managing EmployeeSecretary Aug 1, 2020 50%
Operational/Managerial ControlSecretary Aug 1, 2020 50%

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2020 Change of OwnershipThis provider was the buyer Renaissance Home Health ServicesCCN 059050, CA, NPI 1194049619

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1528657483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E WILSON AVE STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064351",
            "telephone_number": "213-252-8981",
            "fax_number": "800-486-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E WILSON AVE STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064351",
            "telephone_number": "213-252-8981",
            "fax_number": "800-486-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "UMALI",
        "authorized_official_first_name": "JONILYN",
        "authorized_official_title_or_position": "CEO, CFO",
        "authorized_official_telephone_number": "213-252-8981",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@rhhsinc.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "512 E Wilson Ave Ste 203",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912064351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.