Renaissance Medical Llc
Durable Medical Equipment & Medical Supplies
4530 Bishop Ln, Suite 100, Louisville
Kentucky, 40218-4561
502-961-8560 606-878-1862
Renaissance Medical Llc is a Durable Medical Equipment & Medical Supplies in Louisville, Kentucky. It is located at 4530 Bishop Ln, Suite 100, Louisville and it's customer support contact number is 502-961-8560. The authorized person of Renaissance Medical Llc is Mr. James C Graham, RRT who is President of this DME and his contact number is 606-878-0453. Active license number of Renaissance Medical Llc is MG0190 for Durable Medical Equipment & Medical Supplies in Kentucky. Renaissance Medical Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Renaissance Medical Llc is 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.
DME Supplier Details:
Renaissance Medical Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Renaissance Medical Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 4530 Bishop Ln, Suite 100, Louisville,
Kentucky, 40218-4561 |
| Phone: | 502-961-8560 |
| Fax: | 606-878-1862 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. James C Graham |
| Credentials: | RRT |
| Position: | President |
| Contact Number: | 606-878-0453 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1982606851 |
| NPI Enumeration Date: | 11 Aug, 2005 |
| NPI Last Update On: | 02 Jun, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Renaissance Medical Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | MG0190 | Kentucky | Primary | |
| Durable Medical Equipment & Medical Supplies | HME00021 | Kentucky | Secondary | |
| Parenteral & Enteral Nutrition | | | Secondary | |
| Oxygen Equipment & Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 164438 | Other | | In State Dept Hlth Csh |
| S864 | Other | | Anthem |
| 2196098 | Other | | Aetna |
| 040021100 | Other | | Federal Black Lung Progra |
| 119010 | Other | | Bcbs Mi Abp Plan |
| C82008 | Other | | Chi |
| 110110 | Other | | American Benefit Plan |
| 228579 | Other | | Ghp |
| 006895400 | Other | | Us Dept Of Labor |
| 26404V2111 | Other | | Ahds |
| 7100165610 | Medicaid | Kentucky | |
| C82003 | Other | | Chi |
| 000000070422 | Other | | Anthem |
| 7100166520 | Medicaid | Kentucky | |
| 822271 | Other | | Bcbs Penn |
| 1079739 | Other | Kentucky | Passport |
| 1171574 | Other | | Cumberland Healthcare |
Medicare Enrollment:
Renaissance Medical Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3971624560 | O20100930010321 | Renaissance Medical Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH RESPIRATORY THERAPIST |
Products Available:
Renaissance Medical Llc has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Cpap, Rads, & Related Supplies & Accessories | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Hospital Beds: Electric |
| • Hospital Beds: Manual | • Intrapulmonary Percussive Ventilation Devices |
| • Mechanical In-exsufflation Devices | • Nebulizer Equipment & Supplies |
| • Oxygen Equipment & Supplies | • Patient Lifts |
| • Respiratory Suction Pumps | • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads |
| • Tracheostomy Supplies | • Ventilators, Accessories & Supplies |
| • Walkers | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1380 W 5th St,
London, Kentucky |
| Zip: | 40741-1615 |
| Phone Number: | 606-878-0453 |
| Fax Number: | 606-878-1862 |
Patients can reach Renaissance Medical Llc at
4530 Bishop Ln, Suite 100, Louisville, Kentucky or can
call on customer care at 502-961-8560.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.