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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RENEWED LIFE RESIDENCE LLC
NPI 1831011634
Community/Behavioral Health in Fort Worth, TX

Active since July 27, 2026
8504 TERRA COTA LN, FORT WORTH, TX 76123(817) 805-0702 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renewed Life Residence Llc NPPES

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

RENEWED LIFE RESIDENCE LLC (NPI 1831011634) is a healthcare organization registered as a community/behavioral health in Fort Worth, Texas and active in the NPI registry since July 2026. The organization lists Harriett Wilson, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1831011634
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameRENEWED LIFE RESIDENCE LLC
Location Address8504 TERRA COTA LNFort Worth, TX 76123-2934
Mailing Address8504 Terra Cota LnFort Worth, TX 76123-2934 · (817) 805-0702
Phone(817) 805-0702
Organization SubpartNo
Authorized OfficialHarriett WilsonManaging Partner · (817) 805-0702
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 26, 2026
✔ NPI 1831011634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
8504 TERRA COTA LN, Fort Worth, TX 76123
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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 Residence LLC's NPI number?

The NPI number for Renewed Life Residence LLC is 1831011634. It was assigned to this organization in the NPPES registry on July 27, 2026.

Where is Renewed Life Residence LLC located?

Renewed Life Residence LLC is located at 8504 Terra Cota Ln, Fort Worth, TX 76123. The listed phone number is (817) 805-0702.

What is Renewed Life Residence LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Renewed Life Residence LLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.