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RENU LIFE LLC
NPI 1407055858
Custodial Care Facility - Adult Care Home in Goldsboro, NC

Active since July 16, 2007
304 S PINEVIEW AVE, GOLDSBORO, NC 27530(919) 734-0266(919) 734-9926 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Renu Life Llc NPPES

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

RENU LIFE LLC (NPI 1407055858) is a healthcare organization registered as an adult care home in Goldsboro, North Carolina and active in the NPI registry since July 2007. The organization lists Diane Harrison, President, as its authorized official.

NPPES Registry Identity

NPI1407055858
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameRENU LIFE LLC
Location Address304 S PINEVIEW AVEGoldsboro, NC 27530-6037
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 UpdateOctober 27, 2015
✔ NPI 1407055858 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-096-078
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 HAL-096-022 (NC)
304 S PINEVIEW AVE, Goldsboro, NC 27530
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Other Identifiers 2

Medicaid7803379NC
Medicaid7804269NC

Other Providers at the Same Location NPPES

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

PINEVIEW
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
304 S PINEVIEW AVE
GOLDSBORO, NC 27530
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 1407055858. It was assigned to this organization in the NPPES registry on July 16, 2007.

Where is Renu Life LLC located?

Renu Life LLC is located at 304 S Pineview Ave, Goldsboro, NC 27530. 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.

When was this NPI record last updated?

The NPPES record for Renu Life LLC was last updated on October 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.