OrganizationActive
5065 Wallis Road Operations LLC
NPI 1891064549 · Skilled Nursing Facility · West Palm Beach, FL
Provider details
- NPI number
- 1891064549
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ussery, Vp(407) 571-1550
- License
- SNF1198096 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
5065 Wallis Rd
West Palm Beach, FL 33415-1947
Phone: (561) 689-1799
Fax: (561) 640-4603
Approximate (ZIP-level) locationGet directions
Mailing address
5065 Wallis Rd
West Palm Beach, FL 33415-1947
Other names (DBA / former)
- Doing business as
- Renaissance Health and Rehabilitation
- Doing business as
- Renaissance Health and Rehabilitation
Registry dates
- Enumerated
- 2011-12-27
- Last updated
- 2023-11-27
- Certified
- 2020-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.