# RENEWED BEGINNINGS HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164001053
- **Authorized official:** TRINA VERNELL BOYD (PRESIDENT)
- **Authorized official phone:** (980) 213-1290

## Contact information

- **Practice address:** 13113 LAKEMORE DR, CHARLOTTE, NC 28278-0182
- **Practice address phone:** (980) 213-1290
- **Mailing address:** 13113 LAKEMORE DR, CHARLOTTE, NC 28278-0182
- **Mailing address phone:** (980) 213-1290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 347C00000X | Private Vehicle | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/07/2021
- **Last updated:** 05/02/2024