RENEW INFUSIONS LLC (NPI# 1104476993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104476993 |
| Entity Type | Organization |
| Organization Name | RENEW INFUSIONS LLC |
| Practice Address |
4001 E Baseline Rd Ste 104 Gilbert AZ 85234-2736 |
| Mailing Address |
929 N Val Vista Dr Ste 109-170 Gilbert AZ 85234-3706 |
| Practice Telephone | 4806301733 |
| Practice Fax Number | 4803043297 |
| Mailing Telephone | 4806301733 |
| Mailing Fax Number | 4803043297 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Authorized Official Name | KAMEE WITTS (OWNER) |
| Authorized Official Telephone | 4806301733 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Street Address |
4001 E BASELINE RD STE 104 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475854 | East Valley Serenity Health, LLC | General Practice | 4001 E Baseline Rd Ste 104, Gilbert, AZ 85234-2736 | 2019-03-11 |
| 1528690153 | Lotus Infusions Pllc | Nurse Anesthetist, Certified Registered | 4001 E Baseline Rd Ste 104, Gilbert, AZ 85234-2736 | 2020-02-11 |
| 1386281335 | Theresa Cloyd | Counselor | 4001 E Baseline Rd Ste 104, Gilbert, AZ 85234-2736 | 2019-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957567 | Vitalab Pharmacy Inc | Clinic/Center | 690 E Warner Rd Ste 131, Gilbert, AZ 85296-3057 | 2020-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821557638 | Nourish Health Pllc | Clinic/Center | 31316 N 1st St, Phoenix, AZ 85085-7220 | 2019-03-19 |
| 1821560558 | Kic Scottsdale LLC | Clinic/Center | 10555 N 114th St Ste 105, Scottsdale, AZ 85259-4940 | 2018-12-19 |
| 1073080305 | Yuma Outpatient Medical Services, LLC | Clinic/Center | 2281 W 24th St Ste 14, Yuma, AZ 85364-6197 | 2018-10-24 |
| 1821594102 | Vitalab Pharmacy Inc | Clinic/Center | 1763 W 24th St Ste 102, Yuma, AZ 85364-6219 | 2018-04-04 |
| 1770095820 | Optim Ketamine Clinics LLC | Clinic/Center | 10255 N 32nd St Ste B, Phoenix, AZ 85028-3822 | 2017-10-30 |
| 1740790823 | Ketamine Infusion Centers LLC | Clinic/Center | 3724 N 3rd St Ste 201, Phoenix, AZ 85012-2034 | 2017-10-03 |
| 1659894251 | Honorhealth Ambulatory | Clinic/Center | 3501 N Scottsdale Rd Ste 230, Scottsdale, AZ 85251-5649 | 2017-07-25 |
| 1558771378 | H2b2az,llc | Clinic/Center | 29850 N Tatum Blvd, Suite 114, Cave Creek, AZ 85331-5867 | 2014-05-01 |
| 1528251311 | Arizona Medical Infusion | Clinic/Center | 20650 N 29th Pl, Suite 105, Phoenix, AZ 85050-4782 | 2007-08-24 |
| 1225635022 | All Ways Homecare LLC | Clinic/Center | 14631 N Cave Creek Rd Ste 101, Phoenix, AZ 85022-4100 | 2020-10-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.