Organization Active NPI

Renaissance Home Health Services Inc.

  • Home Health Registered Nurse
  • Elk Grove Village, IL
National Provider Identifier
1790823730
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
1011224 Issued in IL
Legal business name
RENAISSANCE HOME HEALTH SERVICES INC.
Practice address
500 E. Higgins Road
Suite 101
Elk Grove Village, IL 60007
Phone
(847) 939-5250
Fax
(847) 939-5252
NPI assigned
Feb 2, 2007
Last updated
Jul 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Mrs. Carmencita Guy Agno, RN
Title
Owner/President
Phone
(847) 939-5250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1007475 IL
Home Health Registered Nurse 163WH0200X 1011224 IL Primary

Addresses

Primary practice location

500 E. Higgins Road
Suite 101
Elk Grove Village, IL 60007

Mailing address

500 E. Higgins Road
Suite 101
Elk Grove Village, IL 60007
Phone (847) 939-5250

National Provider Directory

National Provider Directory

Locations

500 E Higgins Rd
Ste 101
Elk Grove Village, IL 60007
Phone (847) 939-5250

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1790823730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E. HIGGINS ROAD",
            "address_2": "SUITE 101",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-939-5250",
            "fax_number": "847-939-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E. HIGGINS ROAD",
            "address_2": "SUITE 101",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-939-5250",
            "fax_number": "847-939-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HOME HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "AGNO",
        "authorized_official_first_name": "CARMENCITA",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "847-939-5250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1007475",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "1011224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.