Provider Demographics
NPI:1255326641
Name:RENAISSANCE NURSING SERVICES LLC
Entity Type:Organization
Organization Name:RENAISSANCE NURSING SERVICES LLC
Other - Org Name:RNS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-686-9625
Mailing Address - Street 1:1300 N. 10TH ST #320
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4392
Mailing Address - Country:US
Mailing Address - Phone:956-686-9625
Mailing Address - Fax:956-686-9675
Practice Address - Street 1:1300 N. 10TH ST. #320
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4392
Practice Address - Country:US
Practice Address - Phone:956-686-9625
Practice Address - Fax:956-686-9675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010777251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457879Medicare ID - Type UnspecifiedHOME HEALTH PROVIDER NUMB