Organization Active NPI

Rendr Care Health Home, LLC

  • Case Management Agency
  • New York, NY
National Provider Identifier
1952926859
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RENDR CARE HEALTH HOME, LLC
Practice address
139 Centre St Ste 709
New York, NY 10013-4557
Phone
(000) 000-0000
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Richard Park, MD
Title
Managing Owner
Phone
(646) 630-8266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

139 Centre St Ste 709
New York, NY 10013-4557

Mailing address

139 Centre St Ste 711
New York, NY 10013-4557
Phone (646) 630-8266

National Provider Directory

National Provider Directory

Locations

139 Centre St
Ste 709
New York, NY 10013
Phone (212) 965-0496

139 Centre St
Ste 711
New York, NY 10013
Phone (646) 601-6229

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1952926859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 711",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134557",
            "telephone_number": "646-630-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 709",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134557",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENDR CARE HEALTH HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "646-630-8266",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.