NIC 5 RENAISSANCE RETIREMENT LEASING LLC (NPI# 1548604267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548604267 |
| Entity Type | Organization |
| Organization Name | NIC 5 RENAISSANCE RETIREMENT LEASING LLC |
| Other Organization Name | RENAISSANCE RETIREMENT CENTER |
| Practice Address |
300 W Airport Blvd. Sanford FL 32773 |
| Mailing Address |
Po Box 1700, Nic 5 Renaissance Retirement Leasing LLC C/o Holiday Retirement Lake Oswego OR 97035 |
| Practice Telephone | 4073237306 |
| Practice Fax Number | 4073237336 |
| Mailing Telephone | 9712458020 |
| Mailing Fax Number | 5034312295 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | JANE RYU (PRESIDENT/CEO/CFO) |
| Authorized Official Telephone | 2124795270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 5815 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Renaissance Retirement Center | Doing Business As Name - Organization |
| Street Address |
300 W AIRPORT BLVD. |
| City | SANFORD |
| State | FL |
| Zip Code | 32773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962355 | United Angels Home Care Inc | In Home Supportive Care | 601 Lake Minnie Dr, # 4058, Sanford, FL 32773 | 2019-09-30 |
| 1093276537 | Hill Derm Pharmacy, Inc | Pharmacy | 3065 S. Mellonville Ave Ste B, Sanford, FL 32773 | 2019-03-27 |
| 1114446507 | Roberto Carlos Moran | Psychologist | 228 Clydesdale Circle, Sanford, FL 32773 | 2017-09-17 |
| 1316465305 | Thalia Garcia-lakongpheng | Student in an Organized Health Care Education/Training Program | 12208 Stonebrook Dr, Sanford, FL 32773 | 2017-08-30 |
| 1891211470 | Eric Manuel Castrodad Santini | Chiropractor | 820 W Lake Mary Blvd Ste 107, Sanford, FL 32773 | 2017-08-16 |
| 1306375886 | A New Beginning Family Services | Case Management | 148 Magnolia Park Trl, Sanford, FL 32773 | 2017-06-08 |
| 1427592146 | Alice Johanie Matias | Behavioral Analyst | 15208 Stonebrook Dr, Sanford, FL 32773 | 2016-12-14 |
| 1528514270 | Edward Dimauro II | Social Worker | 117 E Lake Mary Blvd, Sanford, FL 32773 | 2016-08-31 |
| 1174079420 | Beverly Glaspell | Physical Therapy Assistant | 257 Clydesdale Circle, Sanford, FL 32773 | 2016-08-28 |
| 1447607064 | Seminole Addiction Treatment Services & Counseling | Counselor | 2640 Hiawatha Avenue, Suite E, Sanford, FL 32773 | 2016-05-24 |
| Find all providers in zip 32773 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871009258 | Sunshine Pharmacy of Sanford LLC | Assisted Living Facility | 5040 Sr 46 Ste 1126, Sanford, FL 32771-9252 | 2017-12-20 |
| 1790186526 | Parkview Retirement Center, Inc. | Assisted Living Facility | 1801 Wicker St, Sanford, NC 27330-7782 | 2014-09-11 |
| 1720418635 | Hope Assisted Living Facility | Assisted Living Facility | 1401 Dixie Way, Sanford, FL 32771-3034 | 2013-11-14 |
| 1104060656 | Manor At Phillipstown Place Inc | Assisted Living Facility | 27 Mayflower St, Sanford, ME 04073-3645 | 2009-04-28 |
| 1538324801 | Renassaince Retirement Center, LLC | Assisted Living Facility | 300 W Airport Blvd, Sanford, FL 32773-8000 | 2008-07-25 |
| 1992988547 | Guardian Home Alf LLC | Assisted Living Facility | 431 E Airport Blvd, Sanford, FL 32773-5494 | 2007-12-06 |
| 1629258678 | Alternative Senior Care | Assisted Living Facility | 5433 Sr 46, Sanford, FL 32771-9236 | 2007-11-07 |
| 1316133374 | Leak's Family Care Home | Assisted Living Facility | 302 Stone St, Sanford, NC 27330-5831 | 2007-09-24 |
| 1043406002 | Leak's Family Care Home | Assisted Living Facility | 548 Cox Maddox Rd, Sanford, NC 27332-8019 | 2007-09-24 |
| 1265633762 | Four Seasons Alf Inc | Assisted Living Facility | 5080 Wayside Dr, Sanford, FL 32771-8613 | 2007-05-30 |
| Find all providers in SANFORD | ||||
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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.