Healthcare Provider Details

I. General information

NPI: 1073960092
Provider Name (Legal Business Name): RENOWN TRANSITIONAL CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2016
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1495 MILL ST
RENO NV
89502-1479
US

IV. Provider business mailing address

PO BOX 30019
RENO NV
89520-3019
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-3500
  • Fax: 775-982-9009
Mailing address:
  • Phone: 775-982-4260
  • Fax: 775-982-3075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number StateNV

VIII. Authorized Official

Name: MR. BRETT MOORE
Title or Position: CFO ACUTE CARE
Credential:
Phone: 775-982-6343