MEDICARE: RENEWAL CARE PARTNERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1962775379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEWAL CARE PARTNERS

Provider Business Mailing Address
First Line	:	548 BROADWAY FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10012-3950
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1451 W CYPRESS CREEK RD STE 300
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1953
Country	:	US
Telephone Number	:	212-380-1781
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MR. JOSEPH FISHER
Credential	:
Telephone Number	:	212-380-1781

Provider Enumeration Date	:	02/15/2012
Last Update Date	:	02/15/2012

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