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RENU LIFE LLC
NPI 1255485959
Custodial Care Facility - Adult Care Home in Goldsboro, NC

Active since January 22, 2007CLIA 34D2176849 · Waiver
102 TINDERWOOD DR, GOLDSBORO, NC 27534(919) 734-0266(919) 734-9926 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Renu Life Llc NPPES

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

RENU LIFE LLC (NPI 1255485959) is a healthcare organization registered as an adult care home in Goldsboro, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 26, 2027 and lists Diane Harrison, President, as its authorized official.

NPPES Registry Identity

NPI1255485959
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameRENU LIFE LLC
Location Address102 TINDERWOOD DRGoldsboro, NC 27534-7856
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 DateJanuary 22, 2007
Last NPPES UpdateNovember 2, 2015
✔ NPI 1255485959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · MHL-096-088
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License MHL-096-078 (NC)
102 TINDERWOOD DR, Goldsboro, NC 27534
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Other Identifiers 4

Medicaid7803548NC
Medicaid7803464NC
Medicaid7803926NC
Medicaid8300920NC

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 34D2176849

Renulife, LLC · Goldsboro, NC
Active · expires Dec 26, 2027
CLIA Number34D2176849
Laboratory TypeGroup Home
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorCari L. Harrison Cruse
Laboratory Phone(919) 734-0266
Laboratory LocationRenulife, LLC304 South Pineview Avenue, 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.

TINDERWOOD
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
102 TINDERWOOD DR
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 LLC's NPI number?

The NPI number for Renu Life LLC is 1255485959. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Renu Life LLC located?

Renu Life LLC is located at 102 Tinderwood Dr, Goldsboro, NC 27534. The listed phone number is (919) 734-0266.

What is Renu Life LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Renu Life LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2176849) is associated with this NPI, valid through December 26, 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 LLC was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.