RE-NU WELLNESS RETREAT LLC
NPI 1649130808
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Palm Bay, FL

Active since November 12, 2025
2815 FOXGLOVE AVE SW, PALM BAY, FL 32908(954) 465-8304 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Residential Treatment Facility, Intellec...

About RE-NU WELLNESS RETREAT LLC

This page provides the complete NPI Profile along with additional information for Re-nu Wellness Retreat Llc, a provider established in Palm Bay, Florida operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1649130808 assigned on November 2025. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Deshaunah Dixon Aprn (Owner/ceo)

NPI
1649130808 Verify this NPI
Provider Name
RE-NU WELLNESS RETREAT LLC
Entity Type
Organization
Location Address
2815 FOXGLOVE AVE SW PALM BAY, FL 32908
Location Phone
(954) 465-8304
Mailing Address
2815 FOXGLOVE AVE SW PALM BAY, FL 32908
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-12-2025
Last Update Date
11-12-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DESHAUNAH DIXON APRN

Authorized Official Title
OWNER/CEO
Authorized Official Phone
(954) 465-8304

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649130808, enumerated as an "organization" on November 12, 2025.

The provider is located at 2815 FOXGLOVE AVE SW PALM BAY, FL 32908 and the phone number is (954) 465-8304.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.