Renewed Beginnings Home Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

RENEWED BEGINNINGS HOME INC

Practice address

13113 Lakemore Dr
Charlotte, NC 28278-0182

Phone

(980) 213-1290

NPI assigned

Apr 7, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trina Vernell Boyd

Title

President

Phone

(980) 213-1290

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashlyn Sanders

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1265368963
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1164001053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13113 LAKEMORE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282780182",
            "telephone_number": "980-213-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13113 LAKEMORE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282780182",
            "telephone_number": "980-213-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED BEGINNINGS HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "VERNELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "980-213-1290"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew Health South
• Renew Project LLC
• Renew Support Services PLLC
• Renewed & Restored LLC
• Renewed Axis Telehealth PLLC
• Renewed Mindset Therapeutic Services, PLLC
• Renewed Peace PLLC
• Renewed Purpose Care LLC
• Renewed Purpose Care LLC
• Renewed Resilience, PLLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.