Provider Demographics
NPI:1689560245
Name:RENAISSANCE SENIOR CARE
Entity type:Organization
Organization Name:RENAISSANCE SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LILLI
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPADAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-201-0555
Mailing Address - Street 1:9292 CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-2208
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7316 MAIN AVE
Practice Address - Street 2:
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-2817
Practice Address - Country:US
Practice Address - Phone:916-201-0555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility