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RSL RENAISSANCE, LLC
NPI 1174149991
Assisted Living Facility in Coeur D Alene, ID

Active since June 17, 2020CLIA 13D2199225 · Waiver
2772 W AVANTE LOOP, COEUR D ALENE, ID 83815(208) 664-6116(208) 664-6992 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rsl Renaissance, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RSL RENAISSANCE, LLC (NPI 1174149991), doing business as The Renaissance At Coeur D'alene, is a healthcare organization registered as an assisted living facility in Coeur D Alene, Idaho and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through November 5, 2026 and lists James Guffee, President Of Manager, as its authorized official.

NPPES Registry Identity

NPI1174149991
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRSL RENAISSANCE, LLC
Location Address2772 W AVANTE LOOPCoeur D Alene, ID 83815-0333
Mailing Address10220 Sw Greenburg Rd Ste 201Portland, OR 97223-5505 · (503) 595-2810 · Fax (503) 595-2818
Phone(208) 664-6116
Fax(208) 664-6992
Organization SubpartYesParent: Radiant Companies, Inc.
Authorized OfficialJames GuffeePresident Of Manager · (503) 595-2810
Enumeration DateJune 17, 2020
NPPES CertifiedJune 17, 2020
✔ NPI 1174149991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2772 W AVANTE LOOP, Coeur D Alene, ID 83815
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Other Names 1

Doing Business AsThe Renaissance At Coeur D'alene

Other Identifiers 3

OtherRC-1190ID · Residential Care Facility License
MedicaidQMP000005537797ID
Medicaid8S122ID

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2199225

Rsl Renaissance LLC · Coeur D'alene, ID
Active · expires Nov 5, 2026
CLIA Number13D2199225
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorTena M. Flores
Laboratory Phone(208) 664-6116
Laboratory LocationRsl Renaissance LLC2772 W Avante' Loop, Coeur D'alene, ID 83815
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA MCKAYL ROTHIE
Occupational Therapist
2772 W AVANTE LOOP
COEUR D ALENE, ID 83815
Kootenai County (406) 381-1610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rsl Renaissance, LLC's NPI number?

The NPI number for Rsl Renaissance, LLC is 1174149991. It was assigned to this organization in the NPPES registry on June 17, 2020. The provider is doing business as The Renaissance At Coeur D'alene.

Where is Rsl Renaissance, LLC located?

Rsl Renaissance, LLC is located at 2772 W Avante Loop, Coeur D Alene, ID 83815. The listed phone number is (208) 664-6116.

What is Rsl Renaissance, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Rsl Renaissance, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2199225) is associated with this NPI, valid through November 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rsl Renaissance, LLC was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.