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Contact Information

RENAISSANCE RECUPERATIVE CARE L.L.C.
3701 AMERICAN BLVD E APT 201
BLOOMINGTON, MN55425-1777
 Phone: 347-614-7199
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Nursing Care

251J00000X
 

Recovery Care

261QR0800X
Indicates primary specialty

NPI Profile & details for RENAISSANCE RECUPERATIVE CARE L.L.C.

NPI # 1144100868
LBN Legal business name RENAISSANCE RECUPERATIVE CARE L.L.C.
Authorized official JAFAR YAKUBU - (NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/04/2025
Last updated 09/04/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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