Provider Demographics
NPI:1114183951
Name:RENAISSANCE CENTER LP
Entity Type:Organization
Organization Name:RENAISSANCE CENTER LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHICAGO REGIONAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BINION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-722-2900
Mailing Address - Street 1:2800 W FULTON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-1737
Mailing Address - Country:US
Mailing Address - Phone:773-722-2900
Mailing Address - Fax:
Practice Address - Street 1:2800 W FULTON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-1737
Practice Address - Country:US
Practice Address - Phone:773-722-2900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility