Renew Hydration LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

RENEW HYDRATION LLC

Practice address

2601 W Mockingbird LN Ste 100
Dallas, TX 75235-5630

Phone

(469) 917-9166

Fax

(214) 951-9720

NPI assigned

Feb 14, 2018

Organization subpart

No

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

Authorized official

Name

Robert Gonzalez

Title

Ceo

Phone

(214) 837-8893

Specialties & licenses 3

Addresses

Other names 1

• Renew Hydration Doing business as

Locations

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1952801128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W MOCKINGBIRD LN STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355630",
            "telephone_number": "469-917-9166",
            "fax_number": "214-951-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W MOCKINGBIRD LN STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355630",
            "telephone_number": "469-917-9166",
            "fax_number": "214-951-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW HYDRATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-837-8893"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Hydration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Michelle Rendon
• Rene'S Professional Home Care
• Keelie Reneau, MOT OTR
• Renee'S Family Healthcare Inc
• Renee'S House
• Renew Path Staffing Solutions LLC
• Renew Rehab LLC
• Renewed Vitality LLC
• Christian J. Renna, DO
• Erin Renna, PT

• Rehabilitation Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.