NPIMap

Organization Active NPI

United Investors LP

Doing business as Renaissance Park Multi-Care Center

  • Skilled Nursing Facility
  • Benbrook, TX
National Provider Identifier
1639102122
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5401 Issued in TX
Legal business name
UNITED INVESTORS LP
Doing business as
Renaissance Park Multi-Care Center
Practice address
4252 Bryant Irvin Rd
Benbrook, TX 76109-4298
Phone
(817) 738-2975
Fax
(817) 731-7002
NPI assigned
Jul 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Cindy S Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5401 TX Primary

Addresses

Primary practice location

4252 Bryant Irvin Rd
Benbrook, TX 76109-4298

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers 1

IdentifierTypeStateIssuer
001000846MedicaidTX

Other names 1

  • Renaissance Park Multi-Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070416000142 TX Part A Provider - Skilled Nursing Facility 3678554730 Practice locations: Fort Worth, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639102122. Details of each certification follow.

Skilled nursing facility certification: CCN 455891

Legal name
UNITED INVESTORS LP
Doing business as
RENAISSANCE PARK MULTI CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 13, 1990
Last certification
Feb 28, 2025
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Life Care Centers of America, LLC
Organization structure
PartnershipProprietary
Enrollment address
4252 Bryant Irvin Rd
Fort Worth, TX 76109-4298
Nursing home name
RENAISSANCE PARK MULTI CARE CENTER
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Renaissance Park Multi Care CenterCCN 455891 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 13, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12040.3 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Penalties (3 years)
4Fines totaling $106,478

Processed by Care Compare on Aug 1, 2026.

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
45D0953243Renaissance Park4252 Bryant Irvin Road, Fort Worth, TX 76109Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
United Investors LP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500N Jefferson St
Carrollton, MO 64633
Phone (660) 542-0155

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Torian D. Webb Individual Operational/Managerial Control Nov 17, 2025
Managing Control - Governing BodyDirector of Nursing Nov 17, 2025
Forrest L Preston Individual Limited Partnership InterestPartner Aug 18, 1989 1%
Adp of the SNF Aug 31, 2000
Indirect Ownership Interest Dec 31, 1991 99%
Terry Henry Individual Corporate OfficerAssistant Treasurer of MGMT. Co. Aug 16, 1999
Todd Fletcher Individual Operational/Managerial Control Dec 13, 2024
Developers Investment Company Inc Organization, Cleveland, TN Corporation, For-profit Operational/Managerial Control Dec 31, 1991
Indirect Ownership Interest Dec 31, 1991 0.99%
Life Care Affiliates II Organization, Cleveland, TN For-profit, Owned by another organization or individual General Partnership Interest Dec 31, 1991 99%
Operational/Managerial Control Dec 31, 1991
Adp of the SNF Aug 31, 2000
Aubrey Preston Individual Operational/Managerial Control Dec 13, 2024
Yvonne Yegon Individual Operational/Managerial Control Jan 22, 2024
Managing Control - Governing BodyAdministrator Jan 22, 2024
Adp of the SNF Mar 6, 2025
United Investors LP Organization, Cleveland, TN For-profit Operational/Managerial Control Oct 31, 1989
Adp of the SNF Aug 31, 2000
Joan E Thurmond Individual Corporate OfficerAssist. Secretary of MGMT. Co. Sep 22, 2000
Cindy S Cross Individual Corporate OfficerVP / Assist Secretary of MGMT. Co. Apr 21, 1994
Richard Swanker Individual Corporate OfficerChief Tax Officer of MGMT. Co. Apr 1, 2011
Corporate DirectorDirector of MGMT. Co. Jan 1, 2022
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Aug 31, 2000
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Oct 16, 1989 100%
Adp of the SNF Mar 6, 2025
Derek Schmidt Individual Operational/Managerial Control Aug 1, 2023
Managing Control - Governing BodyDivision Vice President Aug 1, 2023
Melchor Acosta Individual Operational/Managerial Control Feb 12, 2018
Adp of the SNF Mar 6, 2025
Lisa M Lay Individual Corporate OfficerSecretary of MGMT. Co. Feb 9, 2018
Corporate DirectorDirector of MGMT. Co Apr 24, 2017
James Ziegler Individual Operational/Managerial Control Dec 13, 2024

Owners & managing parties with NPI records 28

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 28

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Life Care Center of CarrolltonCarrollton, MO, CCN 265294 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2000
Aug 31, 2000
Life Care Center of GrandviewGrandview, MO, CCN 265355 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 1993
Aug 31, 2000
Life Care Center of BridgetonBridgeton, MO, CCN 265345 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jun 24, 2014
Aug 31, 2000

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Bridgeton Operations, LLC

    dba Life Care Center of Bridgeton

    • Skilled Nursing Facility
    • Bridgeton, MO
    • NPI 1750797312

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership
  • United Investors LP

    dba Life Care Center of Grandview

    • Skilled Nursing Facility
    • Grandview, MO
    • NPI 1700833431

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • United Investors LP

    dba Life Care Center of Carrollton

    • Skilled Nursing Facility
    • Carrollton, MO
    • NPI 1902853591

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 193

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1639102122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 BRYANT IRVIN RD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761094298",
            "telephone_number": "817-738-2975",
            "fax_number": "817-731-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED INVESTORS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "5401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001000846",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Renaissance Park Multi-Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benbrook, TX

Sources for this page

Verify at the official NPI Registry.