Renu Life Llc
LBN: Renu Life Llc
Renu Life Llc is an health care organization with primary practice located at 102 Tinderwood Dr , Goldsboro NC 27534-7856. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty.
Renu Life Llc can be contacted via phone (919) 734-0266, or through Harrison, Diane via phone (919) 734-0266.
Contact Information
Primary practice address
102 Tinderwood Dr
Goldsboro NC 27534-7856
Phone: (919) 734-0266
Fax: (919) 734-9926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | MHL-096-088 | North Carolina |
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | MHL-096-078 | North Carolina |
Profile Details
| NPI number | 1255485959 |
|---|---|
| LBN Legal business name | Renu Life Llc |
| DBA Doing business as | |
| Authorized official | Harrison, Diane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Nov 2nd, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255485959 | NPPES |
| North Carolina | MEDICAID | 7803926 | |
| North Carolina | MEDICAID | 7803548 | |
| North Carolina | MEDICAID | 8300920 | |
| North Carolina | MEDICAID | 7803464 |
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