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RENAISSANCE MEDICAL LLC NPI 1982606851


NPI Information

NPI: 1982606851
Provider Name: RENAISSANCE MEDICAL LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4530 BISHOP LN
SUITE 100
LOUISVILLE, KY
ZIP 40218
Phone: (502) 961-8560
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RENAISSANCE MEDICAL LLC is a durable medical equipment medical supplies in Louisville, KY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. RENAISSANCE MEDICAL LLC NPI is 1982606851. The provider is registered as an organization entity type.

The provider's business location address is:

4530 BISHOP LN
SUITE 100
LOUISVILLE, KY
ZIP 40218-561
Phone: (502) 961-8560
Fax: (606) 878-1862

The provider's authorized official is James C Graham .
The authorized official title is President and has the following contact phone number (606) 878-0453.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 6/2/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesHME00021KENTUCKYNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
4332B00000XDurable Medical Equipment & Medical SuppliesMG0190KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110110OTHERAMERICAN BENEFIT PLAN
22196098OTHERAETNA
3C82008OTHERCHI
4000000070422OTHERANTHEM
526404V2111OTHERAHDS
6822271OTHERBCBS PENN
7164438OTHERIN STATE DEPT HLTH CSH
8228579OTHERGHP
9006895400OTHERUS DEPT OF LABOR
10040021100OTHERFEDERAL BLACK LUNG PROGRA
117100165610MEDICAIDKENTUCKY
12C82003OTHERCHI
131171574OTHERCUMBERLAND HEALTHCARE
14S864OTHERANTHEM
151079739OTHERKENTUCKYPASSPORT
167100166520MEDICAIDKENTUCKY
17119010OTHERBCBS MI ABP PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.