Provider Demographics
NPI:1497993976
Name:RENACER HOME CARE CORP
Entity Type:Organization
Organization Name:RENACER HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ TRUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-426-8577
Mailing Address - Street 1:644-642 SE 4TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5432
Mailing Address - Country:US
Mailing Address - Phone:305-885-2545
Mailing Address - Fax:305-885-5022
Practice Address - Street 1:644-642 SE 4TH PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5432
Practice Address - Country:US
Practice Address - Phone:305-885-2545
Practice Address - Fax:305-885-5022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility