Organization Active NPI

Renaissance Health System of Florida, Inc.

  • Case Management Agency
  • Wellington, FL
National Provider Identifier
1609018886
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RENAISSANCE HEALTH SYSTEM OF FLORIDA, INC.
Practice address
3420 Fairlane Farms Rd
Suite C
Wellington, FL 33414-8701
Phone
(561) 798-9800
NPI assigned
Apr 2, 2009
Organization subpart
Yes
Parent organization
RENAISSANCE HEALTH SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Mr. Noel J. Guillama
Title
President and Ceo
Phone
(561) 798-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3420 Fairlane Farms Rd
Suite C
Wellington, FL 33414-8701

Mailing address

3420 Fairlane Farms Rd
Suite C
Wellington, FL 33414-8701
Phone (561) 798-9800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1609018886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 FAIRLANE FARMS RD",
            "address_2": "SUITE C",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148701",
            "telephone_number": "561-798-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 FAIRLANE FARMS RD",
            "address_2": "SUITE C",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148701",
            "telephone_number": "561-798-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTH SYSTEM OF FLORIDA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENAISSANCE HEALTH SYSTEMS, INC.",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "GUILLAMA",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "561-798-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.