NPI age
18 years
Enumerated 2007-08-24
● Active Type 2 · Organization
Renewed Life Center, Llc
Renewed Life Center, Llc is 1 of 93 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nettles
Director
Last NPPES update
2010-06-24
Source: monthly bulk 2026-05
How this organization compares
Across 93 active clinic/center providers in Idaho.
NPI age
18 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 31% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-08Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
410 N. Kings Rd., Suite 3
Nampa, ID 83687
Mailing address
410 N. Kings Rd., Suite 3
Nampa, ID 83687
Authorized official
Alan Alan Nettles
Director
📞 2084674889
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Case ManagementAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
-
Clinic/CenterDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.