NPIMap

Organization Active NPI

Renew 4 Life, LLC

  • Clinic/Center
  • Rigby, ID
National Provider Identifier
1326356759
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RENEW 4 LIFE, LLC
Practice address
240 S 5TH W Ste E
Rigby, ID 83442-1476
Phone
(208) 745-0467
Fax
(208) 745-0409
NPI assigned
Sep 20, 2010
Last updated
Sep 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Mrs. Christina RinasNPI 1194181107
Title
Owner/Operator
Phone
(208) 520-1690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

240 S 5TH W Ste E
Rigby, ID 83442-1476

Mailing address

240 S 5TH W Ste E
Rigby, ID 83442-1476
Phone (208) 745-0467

National Provider Directory

National Provider Directory
Tax ID family
Renew 4 Life LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

240 S 5th W
Ste E
Rigby, ID 83442
Phone (208) 520-1690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1326356759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S 5TH W STE E",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421476",
            "telephone_number": "208-745-0467",
            "fax_number": "208-745-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S 5TH W STE E",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421476",
            "telephone_number": "208-745-0467",
            "fax_number": "208-745-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW 4 LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "RINAS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "208-520-1690",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.