Active NPI
Renaissance Home Health Services, Inc.
- Home Health Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Services
- Ownership
- Proprietary
- Certified
- Dec 23, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2266974 | Renaissance Home Health Services, Inc | Certificate of waiver | Aug 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jonilyn Umali | 5% Or Greater Direct Ownership Interest | Aug 1, 2020 | 50% |
| Corporate Officer | Aug 1, 2020 | 50% | |
| Corporate Director | Aug 1, 2020 | 50% | |
| W-2 Managing Employee | Aug 1, 2020 | 50% | |
| Operational/Managerial Control | Aug 1, 2020 | 50% | |
| Christopher Umali | 5% Or Greater Direct Ownership Interest | Aug 1, 2020 | 50% |
| Corporate Officer | Aug 1, 2020 | 50% | |
| Corporate Director | Aug 1, 2020 | 50% | |
| W-2 Managing Employee | Aug 1, 2020 | 50% | |
| Operational/Managerial Control | Aug 1, 2020 | 50% |
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Aug 1, 2020 | Change of Ownership | Renaissance Home Health Services |
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.
-
- Home Health Agency
- Los Angeles, CA
- NPI 1194049619
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.