RENAISSANCE CARE CENTER, INC (NPI# 1801288915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801288915 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE CARE CENTER, INC |
| Practice Address |
1675 E Ash St Canton IL 61520-1510 |
| Mailing Address |
3856 Oakton St Suite 200 Skokie IL 60076-3454 |
| Practice Telephone | 3096475631 |
| Practice Fax Number | 3096478957 |
| Mailing Telephone | 8476744700 |
| Mailing Fax Number | 8746744733 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Authorized Official Name | BRADLEY ALTER (CEO) |
| Authorized Official Telephone | 8476744700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
0040295 | IL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473635 | Renaissance Care Center, Inc | Skilled Nursing Facility | 1675 E Ash St, Canton, IL 61520-1510 | 2006-03-31 |
| Street Address |
1675 E ASH ST |
| City | CANTON |
| State | IL |
| Zip Code | 61520-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473635 | Renaissance Care Center, Inc | Skilled Nursing Facility | 1675 E Ash St, Canton, IL 61520-1510 | 2006-03-31 |
| 1174778690 | Renaissance Care Center | Non-emergency Medical Transport (VAN) | 1675 E Ash St, Canton, IL 61520-1510 | 2008-11-25 |
| 1366694267 | Renaissance Care Center | Durable Medical Equipment & Medical Supplies | 1675 E Ash St, Canton, IL 61520-1510 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| Find all providers in zip 61520 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275054801 | Osf Healthcare System | Skilled Nursing Facility | 5200 N Hamilton Rd, Peoria, IL 61614-3711 | 2017-07-05 |
| 1922404581 | The Center for Exceptional Care | Skilled Nursing Facility | 1435 Summit St, Elgin, IL 60120-9218 | 2014-11-10 |
| 1407268691 | Bottles To Soon | Skilled Nursing Facility | 9731 S Ingleside Ave, Chicago, IL 60628-1517 | 2014-05-22 |
| 1366793143 | Almost Home Kids | Skilled Nursing Facility | 211 E Grand Ave, Chicago, IL 60611-3311 | 2012-09-20 |
| 1548496219 | George J Futris Dds Ltd | Skilled Nursing Facility | 1600 W Dempster St Ste 202, Park Ridge, IL 60068-1172 | 2009-06-08 |
| 1609043074 | Markund Childrens Home | Skilled Nursing Facility | 164 S Prairie Ave, Bloomingdale, IL 60108-1626 | 2008-05-14 |
| 1215112305 | Alden Village North, Inc. | Skilled Nursing Facility | 7464 N Sheridan Rd, Chicago, IL 60626-1817 | 2008-01-08 |
| 1306859731 | Hoosier Care | Skilled Nursing Facility | 109 Kenwood Rd, Champaign, IL 61821-2905 | 2006-08-15 |
| 1316975212 | Hoosier Care Inc | Skilled Nursing Facility | 2601 Woodlawn Rd, Sterling, IL 61081-4151 | 2006-06-29 |
| 1972531341 | Children's Habilitation Center | Skilled Nursing Facility | 121 W 154th Street, Harvey, IL 60426 | 2006-06-28 |
| Find all providers with the same taxonomy | ||||
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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.