RENEWCARE OF SCOTTSDALE INC. NPI 1205480142

NPI Information

NPI: 1205480142
Provider Name: RENEWCARE OF SCOTTSDALE, INC.
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

CLIA Number: 03D0861820

Address:
3333 N CIVIC CENTER PLZ
SCOTTSDALE, AZ
ZIP 85251
Phone: (480) 994-1333
Get Directions

RENEWCARE OF SCOTTSDALE, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Scottsdale, AZ. RENEWCARE OF SCOTTSDALE, INC. NPI is 1205480142. The provider is registered as an organization entity type.

The provider's business location address is:

3333 N CIVIC CENTER PLZ
SCOTTSDALE, AZ
ZIP 85251-413
Phone: (480) 994-1333
Fax: (480) 990-3895

The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.

The CLIA number assigned to this NPI record is 03D0861820 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2019 and was last updated on 7/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OTC9569	OTHER	ARIZONA	AZ DEPARTMENT OF HEALTH SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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