RENAISSANCE HEALTHCARE GROUP, LLC (NPI# 1164904769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164904769 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE HEALTHCARE GROUP, LLC |
| Practice Address |
4975 Albany Post Rd Staatsburg NY 12580-6032 |
| Mailing Address |
320 5th Ave Fl 7 New York NY 10001-3102 |
| Practice Telephone | 8458894500 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | JACK KOSCHITZKI (MANAGER) |
| Authorized Official Telephone | 8454991499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
4975 ALBANY POST RD |
| City | STAATSBURG |
| State | NY |
| Zip Code | 12580-6032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740525856 | Anderson Center for Autism | Clinic/Center | 4889 Route 9, Staatsburg, NY 12580 | 2012-11-29 |
| 1477687234 | Priscilla P Miller | Registered Nurse | 97 Fiddlers Bridge Road, Staatsburg, NY 12580 | 2007-03-15 |
| 1750438586 | Anderson Center for Autism | Intermediate Care Facility, Mentally Retarded | 4885 Route 9, Staatsburg, NY 12580 | 2007-01-04 |
| 1467471375 | Hyde Park Nursing Home, Inc. | Skilled Nursing Facility | 4975 Albany Post Road, Staatsburg, NY 12580 | 2006-07-19 |
| 1376932947 | Amanda Lynn Corcoran | Behavioral Analyst | 4885 Route 9, Staatsburg, NY 12580 | 2015-01-20 |
| 1891030565 | Brandy Haight | Behavioral Analyst | 4885 Route 9, Staatsburg, NY 12580 | 2012-12-06 |
| 1992981625 | Anderson Foundation for Autism | Case Management | 4885 Route 9, Staatsburg, NY 12580 | 2008-01-11 |
| 1013203637 | Lori L Rose | Speech-Language Pathologist | 4885 Rt 9, Staatsburg, NY 12580-0367 | 2011-06-22 |
| 1487161634 | Rachel Ann Jones | Speech-Language Pathologist | 4885 Route 9, Po Box 367, Staatsburg, NY 12580-0367 | 2018-01-09 |
| 1205185196 | Anderson Center Services Inc | Community/Behavioral Health | 4885 Route 9, Staatsburg, NY 12580-0367 | 2012-09-06 |
| Find all providers in zip 12580 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467471375 | Hyde Park Nursing Home, Inc. | Skilled Nursing Facility | 4975 Albany Post Road, Staatsburg, NY 12580 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701343 | Diamond Medical Employment Agency Inc | Skilled Nursing Facility | 21873 Hempstead Ave, Queens Village, NY 11429-2103 | 2020-05-18 |
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1659936334 | Nelson Tannis | Skilled Nursing Facility | 165 Broadway, New York, NY 10006-1404 | 2019-05-07 |
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1952883423 | Roscoe Regional Healthcare LLC | Skilled Nursing Facility | 420 Rockland Rd, Roscoe, NY 12776-6450 | 2018-08-31 |
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1376058578 | Yonkers Gardens, LLC | Skilled Nursing Facility | 115 S Broadway, Yonkers, NY 10701-4006 | 2017-12-10 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| 1679009633 | Love's Compassion Care | Skilled Nursing Facility | 67 Keller St, Rochester, NY 14609-3948 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
| City | STAATSBURG |
| Zip Code | 12580 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.