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RENU LIFE EXTENDED
NPI 1912106378
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Goldsboro, NC

Active since July 16, 2007
501 FOREST HILL DR, GOLDSBORO, NC 27534(919) 734-0266 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renu Life Extended NPPES

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

RENU LIFE EXTENDED (NPI 1912106378) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Goldsboro, North Carolina and active in the NPI registry since July 2007. The organization lists Diane Harrison, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912106378
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameRENU LIFE EXTENDED
Location Address501 FOREST HILL DRGoldsboro, NC 27534-1824
Mailing Address501 Forest Hill DrGoldsboro, NC 27534-1824 · (919) 734-0266
Phone(919) 734-0266
Organization SubpartNo
Authorized OfficialDiane HarrisonCeo · (919) 734-0266
Enumeration DateJuly 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912106378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · HAL-096-022
Definition
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.
501 FOREST HILL DR, Goldsboro, NC 27534
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Other Identifiers 1

Medicaid8300919BNC · Community Supports

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 Extended's NPI number?

The NPI number for Renu Life Extended is 1912106378. It was assigned to this organization in the NPPES registry on July 16, 2007.

Where is Renu Life Extended located?

Renu Life Extended is located at 501 Forest Hill Dr, Goldsboro, NC 27534. The listed phone number is (919) 734-0266.

What is Renu Life Extended's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Renu Life Extended was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.