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RENEWED LIFE HEALTHCARE LLC
NPI 1801411947
Home Health in Port St Lucie, FL

Active since June 15, 2020CLIA 10D2207654 · Waiver
11200 SW VILLAGE PKWY # 100, PORT ST LUCIE, FL 34987(305) 205-5750 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renewed Life Healthcare Llc NPPES

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

RENEWED LIFE HEALTHCARE LLC (NPI 1801411947) is a healthcare organization registered as a home health in Port St Lucie, Florida and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Shakesha Reid, Vice President, as its authorized official.

NPPES Registry Identity

NPI1801411947
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameRENEWED LIFE HEALTHCARE LLC
Location Address11200 SW VILLAGE PKWY # 100Port St Lucie, FL 34987-2385
Mailing Address11200 Sw Village Pkwy # 100Port St Lucie, FL 34987-2385 · (305) 205-5750
Phone(305) 205-5750
Organization SubpartNo
Authorized OfficialShakesha ReidVice President · (305) 205-5750
Enumeration DateJune 15, 2020
NPPES CertifiedJune 15, 2020
✔ NPI 1801411947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
11200 SW VILLAGE PKWY # 100, Port St Lucie, FL 34987
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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 10D2207654

Renewed Life Healthcare LLC · Port Saint Lucie, FL
Active · expires Dec 29, 2026
CLIA Number10D2207654
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorShakesha Reid
Laboratory Phone(772) 800-5917
Laboratory LocationRenewed Life Healthcare LLC11200 SW Village Pkwy Ste 100, Port Saint Lucie, FL 34987
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Renewed Life Healthcare LLC's NPI number?

The NPI number for Renewed Life Healthcare LLC is 1801411947. It was assigned to this organization in the NPPES registry on June 15, 2020.

Where is Renewed Life Healthcare LLC located?

Renewed Life Healthcare LLC is located at 11200 SW Village Pkwy # 100, Port St Lucie, FL 34987. The listed phone number is (305) 205-5750.

What is Renewed Life Healthcare LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Renewed Life Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2207654) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Renewed Life Healthcare LLC was last updated on June 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.