NPIMap

Organization Active NPI

Nic 5 Renaissance Retirement Leasing LLC

Doing business as Renaissance Retirement Center

  • Assisted Living Facility
  • Sanford, FL
National Provider Identifier
1548604267
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5815 Issued in FL
Legal business name
NIC 5 RENAISSANCE RETIREMENT LEASING LLC
Doing business as
Renaissance Retirement Center
Practice address
300 W Airport Blvd.
Sanford, FL 32773
Phone
(407) 323-7306
Fax
(407) 323-7336
NPI assigned
Apr 24, 2013
Last updated
Dec 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Jane Ryu
Title
President/Ceo/Cfo
Phone
(212) 479-5270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5815 FL Primary

Addresses

Primary practice location

300 W Airport Blvd.
Sanford, FL 32773

Mailing address

PO Box 1700, Nic 5 Renaissance Retirement Leasing LLC
C/O Holiday Retirement
Lake Oswego, OR 97035
Phone (971) 245-8020

Other names 1

  • Renaissance Retirement Center 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": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1548604267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1700, NIC 5 RENAISSANCE RETIREMENT LEASING LLC",
            "address_2": "C/O HOLIDAY RETIREMENT",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "971-245-8020",
            "fax_number": "503-431-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W AIRPORT BLVD.",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32773",
            "telephone_number": "407-323-7306",
            "fax_number": "407-323-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIC 5 RENAISSANCE RETIREMENT LEASING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "RYU",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO",
        "authorized_official_telephone_number": "212-479-5270"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "5815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.