RENATUS CARE LLC NPI 1043607039

NPI Information

RENATUS CARE LLC is a hospice care community based in Dallas, TX. RENATUS CARE LLC NPI is 1043607039. The provider is registered as an organization entity type.
The provider Is Doing Business As Provista Hospice.

The provider's business location address is:

4849 GREENVILLE AVE
SUITE 1125
DALLAS, TX
ZIP 75206
Phone: (214) 965-0431
Fax: (214) 965-0434

The provider's authorized official is Melissa Rodriguez .
The authorized official title is Administrator and has the following contact phone number (888) 965-0431.

The CLIA number assigned to this NPI record is 45D2095407 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2015 and was last updated on 1/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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