BOUTIQUE AT RENOWN
NPI 1467558668
Durable Medical Equipment & Medical Supplies in Reno, NV

Active since September 15, 2006
75 PRINGLE WAY STE 107, RENO, NV 89502(775) 982-5075(775) 982-5005 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About BOUTIQUE AT RENOWN

This page provides the complete NPI Profile along with additional information for Boutique At Renown, a provider established in Reno, Nevada operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1467558668 assigned on September 2006. The practitioner's primary taxonomy code is 332B00000X with license number MP00115 (NV). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Boutique At Renown. The authorized official of this NPI record is Mr. Brett Moore (Cfo Acute Care)

NPI
1467558668 Verify this NPI
Provider Legal Name
RENOWN BUSINESSES
Other Organization Name
BOUTIQUE AT RENOWN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
75 PRINGLE WAY STE 107 RENO, NV 89502
Location Phone
(775) 982-5075
Location Fax
(775) 982-5005
Mailing Address
75 PRINGLE WAY STE 107 RENO, NV 89502
Mailing Phone
(775) 982-5075
Mailing Fax
(775) 982-5005
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-15-2006
Last Update Date
01-03-2024
Code Navigator



Boutique At Renown is a medicare supplier with PTAN 20636975 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Breast Prostheses and/or Accessories.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
MP00115
License State
NV
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

68527 (NV)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BRETT MOORE

Authorized Official Title
CFO ACUTE CARE
Authorized Official Phone
(775) 982-6343

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20636975
Accepts Medicare Assignment
YES
Specialities List
MSC With Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra

Reviews for BOUTIQUE AT RENOWN

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467558668, enumerated as an "organization" on September 15, 2006.

The provider is located at 75 PRINGLE WAY STE 107 RENO, NV 89502 and the phone number is (775) 982-5075.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.