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Renu Life Extended

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Goldsboro, NC · enumerated 2007 · authorized official Diane Harrison, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912106378

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Registry record

Entity type Organization (Type 2)
Legal business name Renu Life Extended
Practice address 501 Forest Hill Dr, Goldsboro, NC, 27534
Enumeration date Jul 16, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities · License HAL-096-022 (NC) Primary

Authorized official

Name Diane Harrison
Title Ceo

Other identifiers

Identifier Type State Issuer
8300919B Medicaid NC COMMUNITY SUPPORTS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Renu Life Extended?
The NPI for Renu Life Extended is 1912106378, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Renu Life Extended?
NPPES lists Diane Harrison (Ceo) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.