Healthcare Provider Details

I. General information

NPI: 1497087373
Provider Name (Legal Business Name): RENCARE SOLUTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2010
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W ATKINS ST
DOBSON NC
27017-9027
US

IV. Provider business mailing address

PO BOX 579 416 E MAIN ST
YADKINVILLE NC
27055-0579
US

V. Phone/Fax

Practice location:
  • Phone: 336-386-8516
  • Fax: 336-386-1047
Mailing address:
  • Phone: 336-677-1188
  • Fax: 336-677-1522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberHAL-086-012
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberHAL-024-015
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberHAL-012-040
License Number StateNC

VIII. Authorized Official

Name: MS. LAUREN ASHLEY REAVIS
Title or Position: PRESIDENT
Credential: RN, MSN, MBA
Phone: 336-677-1188