Renaissance West, LLC
Renaissance West, LLC is a healthcare organization registered as Skilled Nursing Facility in Mesa, AZ, holding Type 2 (organization) NPI 1790935625 since 2008. The authorized official on file is Jay Flatt, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790935625 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Renaissance West, LLC |
| Other name | <Unavail> |
| Practice address | 3130 E BROADWAY RD, Mesa, AZ, 85204 |
| Phone | 4809247777 |
| Fax | 4809245712 |
| Enumeration date | 2008-09-29 |
| Last updated in NPPES | 2013-10-24 |
Authorized official
| Name | Jay Flatt |
|---|---|
| Title | Cfo |
| Phone | 8479332600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | — | AZ |
Copy-ready billing details
Provider: Renaissance West, LLC NPI: 1790935625 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 3130 E BROADWAY RD, Mesa, AZ, 85204
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1265543607 | Sunrise Mesa Health Care Center Inc | Organization | Skilled Nursing Facility | Mesa, AZ |
| 1922144310 | Robyn Wilcoxson | Individual | Physical Therapist | Mesa, AZ |
| 1487869459 | Vincent Cochran | Individual | Occupational Therapist | Mesa, AZ |
| 1558568139 | Steven Rogers | Individual | Occupational Therapist | Mesa, AZ |
| 1821295262 | Vandana Manik | Individual | Occupational Therapist | Mesa, AZ |
| 1124226626 | Laura Sykes | Individual | Physical Therapy Assistant | Mesa, AZ |
| 1023204542 | Teresa Schneider | Individual | Physical Therapy Assistant | Mesa, AZ |
| 1447402102 | Jane Hamilton | Individual | Physical Therapy Assistant | Mesa, AZ |
Verify this record
Cross-check NPI 1790935625 against the authoritative CMS record: view Renaissance West, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Renaissance West, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-10-24.