Organization Active NPI

Renewed Radiance

  • Durable Medical Equipment & Medical Supplies
  • Gonzales, LA
National Provider Identifier
1881493799
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RENEWED RADIANCE
Practice address
1203 East Cornerview Street
Gonzales, LA 70737
Phone
(833) 357-3639
NPI assigned
Mar 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Carmesha HarrisNPI 1467149583
Title
Owner/ Manger
Phone
(833) 357-3639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1203 East Cornerview Street
Gonzales, LA 70737

Mailing address

5256 Faulkner Dr
Darrow, LA 70725-2526
Phone (225) 323-6873

National Provider Directory

National Provider Directory

Locations

1203 E Cornerview St
Gonzales, LA 70737
Phone (833) 357-3639

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1881493799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5256 FAULKNER DR",
            "city": "DARROW",
            "state": "LA",
            "postal_code": "707252526",
            "telephone_number": "225-323-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 EAST CORNERVIEW STREET",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70737",
            "telephone_number": "833-357-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED RADIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CARMESHA",
        "authorized_official_title_or_position": "OWNER/ MANGER",
        "authorized_official_telephone_number": "833-357-3639"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.