Organization Active NPI

Rencare Solutions, Inc.

  • Adult Care Home Facility
  • Dobson, NC
National Provider Identifier
1780025346
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL-012-040 Issued in NC
Legal business name
RENCARE SOLUTIONS, INC.
Practice address
711 W Atkins St
Dobson, NC 27017-9027
Phone
(336) 386-8516
Fax
(336) 386-1047
NPI assigned
Jul 11, 2013
Last updated
Jul 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Lauren Ashley Reavis, MSN
Title
President
Phone
(336) 408-5008

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HAL-024-015 NC
Adult Care Home Facility 311ZA0620X HAL-086-012 NC
Adult Care Home Facility 311ZA0620X HAL-012-040 NC Primary

Addresses

Primary practice location

711 W Atkins St
Dobson, NC 27017-9027

Mailing address

PO Box 579
Yadkinville, NC 27055-0579
Phone (336) 677-1188

Other identifiers 1

IdentifierTypeStateIssuer
7806273MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Rencare Solutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1780025346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270550579",
            "telephone_number": "336-677-1188",
            "fax_number": "336-677-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W ATKINS ST",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270179027",
            "telephone_number": "336-386-8516",
            "fax_number": "336-386-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENCARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "REAVIS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-408-5008",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-024-015",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-086-012",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-012-040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806273",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobson, NC

Sources for this page

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