Renova Center in Lebanon - Intermediate Care Facility, Intellectual Disabilities
Renova Center - NPI 1578693925
Renova Center is a Intermediate Care Facility, Intellectual Disabilities in Lebanon, Pennsylvania. Renova Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Renova Center is 1578693925. The last update date is 2020-08-22.
Renova Center's current location address is 25 Metro Dr, Lebanon, Pennsylvania. You can contact this provider via phone number 7172740493 and fax number 7172742574. The mailing address for Renova Center is 25 Metro Dr, Lebanon, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renova Center |
|---|---|
| Address | 25 Metro Dr, Lebanon, Pennsylvania |
| Phone Number | 7172740493 |
| Fax Number | 7172742574 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Shahay J. Roman |
| Telephone Number | 7172740493 |
NPI Number Detail
| NPI Number | 1578693925 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 25 Metro Dr |
|---|---|
| City | Lebanon |
| State | Pennsylvania (PA) |
| Post Code | 170429172 |
| Phone Number | 7172740493 |
| Fax Number | 7172742574 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 76404078 |
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Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique identifier code issued to Renova Center by the Centers for Medicare & Medicaid Services?
The Renova Center has been assigned the NPI (National Provider Identifier) 1578693925. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Renova Center?
The Renova Center is physically situated at 25 Metro Dr, in the city of Lebanon, state of PA, with the postal code 170429172.
What is Renova Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Renova Center's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
When was the Renova Center's 1578693925 issued?
The Renova Center's 1578693925 was issued on 2007-03-06.
When was the information pertaining to Renova Center most recently updated or revised?
The details related to Renova Center, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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