RENU LIFE EXTENDED, INC
NPI 1073712428
Community/Behavioral Health in Goldsboro, NC

Q: What is Renu Life Extended, Inc's NPI number?

The NPI number for Renu Life Extended, Inc is 1073712428. It was assigned to this organization in the NPPES registry on July 16, 2007.

Q: What is Renu Life Extended, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since July 16, 2007CLIA 34D2030930 · Waiver

201 WINDSOR CREEK PKWY, GOLDSBORO, NC 27534(919) 734-0266(919) 734-9926 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2021, Aug 6, 2021 (2 updates tracked since 2021).

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About Renu Life Extended, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENU LIFE EXTENDED, INC (NPI 1073712428) is a healthcare organization registered as a community/behavioral health in Goldsboro, North Carolina and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Diane Harrison, President, as its authorized official.

NPPES Registry Identity

NPI1073712428

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameRENU LIFE EXTENDED, INC

Location Address201 WINDSOR CREEK PKWYGoldsboro, NC 27534-8696

Mailing AddressPo Box 1017Goldsboro, NC 27533-1017 · (919) 734-0266 · Fax (919) 734-9926

Phone(919) 734-0266

Fax(919) 734-9926

Organization SubpartNo

Authorized OfficialDiane HarrisonPresident · (919) 734-0266

Enumeration DateJuly 16, 2007

Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration

NPPES CertifiedAugust 19, 2021

✔ NPI 1073712428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License HAL-096-022 (NC)

201 WINDSOR CREEK PKWY, Goldsboro, NC 27534

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Other Identifiers 2

OtherMHL-096-277NC · Dhsr

Medicaid8300919NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2030930

Renulife Extended · Goldsboro, NC

Active · expires Dec 29, 2027

CLIA Number34D2030930

Laboratory TypeAssisted Living Facility

Certificate Effective DateDecember 30, 2025

Certificate Expiration DateDecember 29, 2027

Laboratory DirectorCari L. Harrison Cruse

Laboratory Phone(919) 734-0266

Laboratory LocationRenulife Extended501 Forest Hill Drive, Goldsboro, NC 27534

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENU LIFE EXTENDED, INC

Community/Behavioral Health

201 WINDSOR CREEK PKWY
GOLDSBORO, NC 27534

Wayne County (919) 734-0266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renu Life Extended, Inc's NPI number?

The NPI number for Renu Life Extended, Inc is 1073712428. It was assigned to this organization in the NPPES registry on July 16, 2007.

Where is Renu Life Extended, Inc located?

Renu Life Extended, Inc is located at 201 Windsor Creek Pkwy, Goldsboro, NC 27534. The listed phone number is (919) 734-0266.

What is Renu Life Extended, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Renu Life Extended, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2030930) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Renu Life Extended, Inc was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.