Renewed Spot

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RENEWED SPOT

Practice address

819 W 54TH St
Los Angeles, CA 90037-3615

Phone

(850) 241-4196

NPI assigned

Jul 24, 2024

Last updated

Jul 24, 2024By 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. Benjamin Evans

Title

Coo

Phone

(850) 241-4196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1932937661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 W 54TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W 54TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373615",
            "telephone_number": "850-241-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED SPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "850-241-4196",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Renewyourmind, LLC
• Courtney Carmen Renfro
• Lynn Renfroe, PSY.D.
• Sophie Rengarajan
• Zachary Thomas Rengel

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.