Renewed Grace Restoration LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RENEWED GRACE RESTORATION LLC

Practice address

12785 Elmhurst Dr
Moreno Valley, CA 92555-2359

Phone

(951) 268-0825

NPI assigned

Apr 22, 2026

Organization subpart

No

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

Authorized official

Name

Winnikkia PerkinsNPI 1962380923

Title

Owner

Phone

(951) 268-0825

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Winnikkia Perkins

  • Durable Medical Equipment & Medical Supplies
  • Moreno Valley, CA
  • NPI 1962380923
  NPD Authorized official

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1336084540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 CANYON SPRINGS PKWY STE 1096",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070961",
            "telephone_number": "951-268-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12785 ELMHURST DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552359",
            "telephone_number": "951-268-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED GRACE RESTORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "WINNIKKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-268-0825"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.