Renton Care Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1378 Issued in WA

Legal business name

RENTON CARE CENTER, INC

Practice address

80 SW 2ND St
Renton, WA 98055-1937

Phone

(425) 226-4610

Fax

(425) 255-6561

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Gregory J Vislocky

Title

Ex VP of Finance / Partner

Phone

(360) 735-7155

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Regency at Renton Rehabilitation Doing business as

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1770520249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SW 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980551937",
            "telephone_number": "425-226-4610",
            "fax_number": "425-255-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SW 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980551937",
            "telephone_number": "425-226-4610",
            "fax_number": "425-255-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTON CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "VISLOCKY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EX VP OF FINANCE / PARTNER",
        "authorized_official_telephone_number": "360-735-7155"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WA",
            "license": "1378",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113783",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency at Renton Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Lynn Rende Dallas, MOT
• Floriane Aurelie Renevey, MS OTR/L
• Curtis A Rensvold, LMP
• Renton Are Youth and Family Services
• Renton Area Youth and Family Services
• Renton Center Chiropractic
• Renton Counseling Center, PLLC
• Renton Denture Clinic LLC
• Renton Family Therapy
• Renton Foot Clinic

• Skilled Nursing Facility in Renton, WA
• Providers in Renton, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.