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RENAISSANCE CARE CENTER, INC
NPI 1801288915
Skilled Nursing Facility - Nursing Care, Pediatric in Canton, IL

Active since February 26, 2015CLIA 14D0662885 · Waiver
1675 E ASH ST, CANTON, IL 61520(309) 647-5631(309) 647-8957 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Renaissance Care Center, Inc NPPES

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

RENAISSANCE CARE CENTER, INC (NPI 1801288915) is a healthcare organization registered as a nursing care, pediatric in Canton, Illinois and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Bradley Alter, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801288915
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NameRENAISSANCE CARE CENTER, INC
Location Address1675 E ASH STCanton, IL 61520-1510
Mailing Address3856 Oakton St, Suite 200Skokie, IL 60076-3454 · (847) 674-4700 · Fax (874) 674-4733
Phone(309) 647-5631
Fax(309) 647-8957
Organization SubpartNo
Authorized OfficialBradley AlterCeo · (847) 674-4700
Enumeration DateFebruary 26, 2015
✔ NPI 1801288915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
License✔ Licensed in IL · 0040295
Definition

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

1675 E ASH ST, Canton, IL 61520
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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 14D0662885

Renaissance Care Center Inc · Canton, IL
Active · expires Aug 31, 2026
CLIA Number14D0662885
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBonnie S. Breese
Laboratory Phone(309) 647-5631
Laboratory LocationRenaissance Care Center Inc1675 East Ash Street, Canton, IL 61520
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

RENAISSANCE CARE CENTER
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1675 E ASH ST
CANTON, IL 61520
Fulton County (309) 647-5631
RENAISSANCE CARE CENTER
Non-emergency Medical Transport (VAN)
1675 E ASH ST
CANTON, IL 61520
Fulton County (309) 647-5631
RENAISSANCE CARE CENTER, INC
Skilled Nursing Facility
1675 E ASH ST
CANTON, IL 61520
Fulton County (309) 647-5631

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 Renaissance Care Center, Inc's NPI number?

The NPI number for Renaissance Care Center, Inc is 1801288915. It was assigned to this organization in the NPPES registry on February 26, 2015.

Where is Renaissance Care Center, Inc located?

Renaissance Care Center, Inc is located at 1675 E Ash St, Canton, IL 61520. The listed phone number is (309) 647-5631.

What is Renaissance Care Center, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

Does Renaissance Care Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0662885) is associated with this NPI, valid through August 31, 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 Renaissance Care Center, Inc was last updated on February 26, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.