Provider Demographics
NPI:1417000324
Name:RENAISSANCE HEALTH CARE, INC
Entity Type:Organization
Organization Name:RENAISSANCE HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:781-699-2814
Mailing Address - Street 1:10901 W 120TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3429
Mailing Address - Country:US
Mailing Address - Phone:303-426-0333
Mailing Address - Fax:303-426-0555
Practice Address - Street 1:10901 W 120TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-3429
Practice Address - Country:US
Practice Address - Phone:303-426-0333
Practice Address - Fax:303-426-0555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty