RENAISSANCE HEALTH CARE LLC (NPI# 1821536087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821536087 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE HEALTH CARE LLC |
| Other Organization Name | SPANISH TRAILS REHABILITATION SUITES |
| Practice Address |
1610 N Renaissance Blvd Ne Albuquerque NM 87107-7047 |
| Practice Telephone | 4107731000 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |
| Authorized Official Name | KAM MCGAVOCK (PRESIDENT) |
| Authorized Official Telephone | 4107731000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Spanish Trails Rehabilitation Suites | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518939404 | Renaissance Health Care LLC | Skilled Nursing Facility | 6050 S 800 E-92, Fort Wayne, IN 46814-9201 | 2006-02-03 |
| Street Address |
1610 N RENAISSANCE BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-7047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447554 | Albuquerque Operations LLC | Skilled Nursing Facility | 8820 Horizon Blvd Ne # Na, Albuquerque, NM 87113-1689 | 2018-12-04 |
| 1720477847 | Julie Salcido | Skilled Nursing Facility | 9126 Seaside Rd Nw, Albuquerque, NM 87121-1939 | 2015-01-13 |
| 1003205188 | Brian Walker | Skilled Nursing Facility | 10101 Lgrma Oro Rd Ne, Albuquerque, NM 87111-6022 | 2015-01-13 |
| 1619390333 | Rehab Suites At Las Estancias LLC | Skilled Nursing Facility | 3620 Las Estancias Drive Sw, Albuquerque, NM 87105 | 2014-01-31 |
| 1629244124 | Ahc of Albuquerque LLC | Skilled Nursing Facility | 2701 Richmond Drive Ne, Albuquerque, NM 87107-1963 | 2008-05-05 |
| 1700078870 | St. Theresa Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 7900 Constitution Ave Ne, Albuquerque, NM 87110-7513 | 2007-08-13 |
| 1326230483 | Canyon Transitional Rehabilitation Center, LLC | Skilled Nursing Facility | 10101 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-6022 | 2007-08-13 |
| 1790872976 | Thi of New Mexico At Albuquerque Care Center, LLC | Skilled Nursing Facility | 239 Elm St Ne, Albuquerque, NM 87102-3672 | 2006-10-07 |
| 1649367830 | Thi of New Mexico At Valle Norte, LLC | Skilled Nursing Facility | 8820 Horizon Blvd Ne, Albuquerque, NM 87113-1689 | 2006-10-07 |
| 1205929189 | Laurel Healthcare LLC | Skilled Nursing Facility | 103 Hospital Loop Ne, Albuquerque, NM 87109-2115 | 2006-10-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
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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.