Provider Type Icon

RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO. LLC NPI 1710012505


NPI Information

NPI: 1710012505
Provider Name: RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO., LLC

Doing Business As: INTEGRA SPECIALTY HOSPITAL

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization
Address:
2401 W UNIVERSITY AVE
8TH FLOOR NORTH TOWER
MUNCIE, IN
ZIP 47303
Phone: (765) 282-5822
Get Directions

RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO., LLC is a long term care hospital in Muncie, IN. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. RENAISSANCE SPECIALTY HOSPITAL OF CENTRAL INDIANA OPERATIONS CO., LLC NPI is 1710012505. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Integra Specialty Hospital.

The provider's business location address is:

2401 W UNIVERSITY AVE
8TH FLOOR NORTH TOWER
MUNCIE, IN
ZIP 47303-428
Phone: (765) 282-5822
Fax: (765) 289-5170

The provider's authorized official is James Wesp .
The authorized official title is Administrator and has the following contact phone number (765) 282-5822.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 5/13/2010.


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
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineNo
3363LA2100XNurse PractitionerAcute CareNo
4363L00000XNurse PractitionerNo
5282E00000XLong Term Care Hospital060042861INDIANAYes

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
1200509740MEDICAIDINDIANA
2152025MEDICARE ID-TYPE UNSPECIFIEDINDIANA
320002299MEDICARE OSCAR/CERTIFICATIONINDIANA

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.