Renaissance West, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RENAISSANCE WEST, LLC

Doing business as

Symphony of Mesa

Practice address

3130 E Broadway Rd
Mesa, AZ 85204-1740

Phone

(480) 924-7777

Fax

(480) 924-5712

NPI assigned

Sep 29, 2008

Last updated

Oct 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jay Flatt

Title

Cfo

Phone

(847) 933-2600

Specialties & licenses 1

Addresses

Other names 1

• Symphony of Mesa Doing business as

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1790935625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041740",
            "telephone_number": "480-924-7777",
            "fax_number": "480-924-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041740",
            "telephone_number": "480-924-7777",
            "fax_number": "480-924-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "FLATT",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-933-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Symphony of Mesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.