Provider Demographics
NPI:1275592636
Name:RENCARE LTD
Entity Type:Organization
Organization Name:RENCARE LTD
Other - Org Name:MEDINA COUNTY DIALYSIS FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-367-6010
Mailing Address - Street 1:3202 AVENUE G
Mailing Address - Street 2:
Mailing Address - City:HONDO
Mailing Address - State:TX
Mailing Address - Zip Code:78861-3522
Mailing Address - Country:US
Mailing Address - Phone:830-426-3843
Mailing Address - Fax:830-426-2239
Practice Address - Street 1:3202 AVENUE G
Practice Address - Street 2:
Practice Address - City:HONDO
Practice Address - State:TX
Practice Address - Zip Code:78861-3522
Practice Address - Country:US
Practice Address - Phone:830-426-3843
Practice Address - Fax:830-426-2239
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:US RENAL CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-22
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007311261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH6346OtherBCBS
TX002366OtherKIDNEY HEALTH CARE
452765Medicare Oscar/Certification