MEDICARE: RENATUS CARE LLC

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1043607039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENATUS CARE LLC

Provider Business Mailing Address
First Line	:	4849 GREENVILLE AVE STE 1124-B
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-4130
Country	:	US
Telephone Number	:	214-299-8566
Fax Number	:	214-299-5136

Provider Business Practice Location Address
First Line	:	4849 GREENVILLE AVE STE 1124 - B
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-4130
Country	:	US
Telephone Number	:	214-965-0431
Fax Number	:	214-965-0434

Authorized Official
Title or Position	:	COO/ADMINISTRATOR
Name	:	MELISSA RODRIGUEZ
Credential	:
Telephone Number	:	888-965-0431

Provider Enumeration Date	:	04/17/2015
Last Update Date	:	06/25/2026

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Directions to “RENATUS CARE LLC ” Practice Location

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