Renaissance Specialty Hospital of Central Indiana Operations Co., LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

060042861 Issued in IN

Legal business name

RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO., LLC

Practice address

2401 W University Ave
8TH Floor North Tower
Muncie, IN 47303-3428

Phone

(765) 282-5822

Fax

(765) 289-5170

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Wesp

Title

Administrator

Phone

(765) 282-5822

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Integra Specialty Hospital Doing business as

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1710012505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE",
            "address_2": "8TH FLOOR NORTH TOWER",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-282-5822",
            "fax_number": "765-289-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE",
            "address_2": "8TH FLOOR NORTH TOWER",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-282-5822",
            "fax_number": "765-289-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "WESP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "765-282-5822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "IN",
            "license": "060042861",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integra Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rejuvenate Minds LLP
• Rejuvenate Residential Services LLC
• Rem Occazio, Inc.
• Rem Occazio, Inc.
• Renaissance Specialty Hospital of Central Indiana Operations Co LLC
• Renal Associates of Central in
• Jessica Rench, MA, CCC-SLP
• John Marc Rench
• Daniel C Reno, D.D.S.
• Marah Reno, RBT

• Long Term Care Hospital in Muncie, IN
• Providers in Muncie, IN by specialty
• Long Term Care Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.