RENAISSANCE CENTER (NPI# 1518154871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518154871 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE CENTER |
| Practice Address |
2800 West Fulton Chicago IL 60612 |
| Practice Telephone | 7737222900 |
| Practice Fax Number | 7737227662 |
| Mailing Telephone | 7737222900 |
| Mailing Fax Number | 7737227662 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. BRIAN CLOCH (PARTNER) |
| Authorized Official Telephone | 8477685114 |
| Is Organization Subpart | Y |
| Parent Organization Name | PATHWAY SENIOR LIVING LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366884835 | Renaissance Center | Clinic/Center | 1414 116th Ave Ne Ste C, Bellevue, WA 98004-3801 | 2013-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | RENAISSANCE CENTER ASSOCIATES INC. | 12440 Little Bridge Dr, Doswell, Virginia 23047 |
| System for Award Management (SAM) Entities | RENAISSANCE CENTER LIMITED PARTNERSHIP | 34555 Chagrin Blvd, Moreland Hills, OH 44022-1068 |
| System for Award Management (SAM) Entities | RENAISSANCE CENTER, THE | 6665 Security Blvd, Catonsville, MD 21228-4018 |
| Street Address |
2800 WEST FULTON |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184889 | The Encore At The Twin Cities | Assisted Living Facility | 101 N Wacker Dr Ste 608, Chicago, IL 60606-1726 | 2019-09-25 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1851849269 | Alden Courts of Waterford, L.L.C. | Assisted Living Facility | 4200 W. Peterson Ave. Suite 140, Chicago, IL 60646-6074 | 2016-09-14 |
| 1740635663 | Friend Family Health Center, Inc | Assisted Living Facility | 6134 S Cottage Grove Ave, Chicago, IL 60637 | 2016-04-28 |
| 1760851364 | Goldblatts of Chicago Limited Partnership | Assisted Living Facility | 4707 S Marshfield Ave, Chicago, IL 60609-4159 | 2015-09-24 |
| 1982900445 | Covenant Home of Chicago | Assisted Living Facility | 2720 West Foster Avenue, Chicago, IL 60625-3510 | 2011-02-01 |
| 1215269071 | Renaissance Saint Luke Slf Lp | Assisted Living Facility | 1501 W Melrose St, Chicago, IL 60657-9083 | 2010-02-04 |
| 1346579398 | Genesis Rehabilitation Services | Assisted Living Facility | 7120 N Sheridan Rd, # 201, Chicago, IL 60626-2900 | 2009-12-21 |
| 1992946214 | Victory Centre of South Chicago LLC | Assisted Living Facility | 3251 E 92nd St, Chicago, IL 60617-4660 | 2009-03-17 |
| 1861638181 | Victory Centre of Galewood LLC | Assisted Living Facility | 2370 N Newcastle Ave, Chicago, IL 60707-2955 | 2008-12-17 |
| Find all providers in CHICAGO | ||||
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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.