Organization Active NPI

Renew Life Out-Patient Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Norfolk, VA
National Provider Identifier
1255224226
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RENEW LIFE OUT-PATIENT RECOVERY CENTER LLC
Practice address
110 Maycox Ave Ste 6
Norfolk, VA 23505-3433
Phone
(757) 991-1481
NPI assigned
May 30, 2025
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Mrs. Orna Hunter-Moorehead
Title
Owner
Phone
(757) 513-2262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

110 Maycox Ave Ste 6
Norfolk, VA 23505-3433

Mailing address

110 Maycox Ave Ste 6
Norfolk, VA 23505-3433
Phone (757) 991-1481

National Provider Directory

National Provider Directory

Locations

110 Maycox Ave
Ste 6
Norfolk, VA 23505
Phone (757) 991-1481

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1255224226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAYCOX AVE STE 6",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053433",
            "telephone_number": "757-991-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAYCOX AVE STE 6",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053433",
            "telephone_number": "757-991-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW LIFE OUT-PATIENT RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "HUNTER-MOOREHEAD",
        "authorized_official_first_name": "ORNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-513-2262",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.