Organization Active NPI

Renon Assisted Living LLC

  • Assisted Living Facility
  • Grand Prairie, TX
National Provider Identifier
1659703627
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
137086 Issued in TX
Legal business name
RENON ASSISTED LIVING LLC
Practice address
119 Matamoros St
Grand Prairie, TX 75051-4473
Phone
(469) 441-3619
NPI assigned
Aug 1, 2013
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Ms. Rita Onuoha
Title
Owner
Phone
(469) 441-3619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 137086 TX Primary

Addresses

Primary practice location

119 Matamoros St
Grand Prairie, TX 75051-4473

Mailing address

119 Matamoros St
Grand Prairie, TX 75051-4473

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1659703627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MATAMOROS ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MATAMOROS ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514473",
            "telephone_number": "469-441-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENON ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "ONUOHA",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-441-3619",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "137086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.