Renewed Services, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

RENEWED SERVICES, INC.

Practice address

110 Twin Lake Dr
Shelby, NC 28152-0660

Phone

(704) 473-6346

Fax

(704) 313-3017

NPI assigned

Sep 27, 2010

Last updated

Sep 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George O. Odembo, QDDP/QMHP

Title

President

Phone

(704) 473-6346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1255640165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TWIN LAKE DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281520660",
            "telephone_number": "704-473-6346",
            "fax_number": "704-313-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TWIN LAKE DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281520660",
            "telephone_number": "704-473-6346",
            "fax_number": "704-313-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "ODEMBO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-473-6346",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QDDP/QMHP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Shelby, NC
• Providers in Shelby, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.