OrganizationActive
Renaissance Recuperative Care L.L.C.
NPI 1144100868 · Nursing Facility/Intermediate Care Facility · Bloomington, MN
Provider details
- NPI number
- 1144100868
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jafar Yakubu, Nurse Practitioner(347) 614-7199
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Recovery Care Clinic/Center261QR0800X
Ambulatory Health Care Facilities
- Nursing Care Agency251J00000X
Agencies
Practice location
3701 American Blvd E Apt 201
Bloomington, MN 55425-1777
Phone: (347) 614-7199
Approximate (ZIP-level) locationGet directions
Mailing address
3701 American Blvd E Apt 201
Bloomington, MN 55425-1777
Registry dates
- Enumerated
- 2025-09-04
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.