Renewed Impressions of Life LLC
NPI 1578358834ActiveOrganization· Supports Brokerage· San Bernardino, CA
Supports Brokerage in San Bernardino, California, registered in NPPES in April 2025. The authorized official on file is Keyva Herndon, Ceo.
Overview
| NPI | 1578358834 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2025 |
| Last updated in NPPES | Apr 9, 2025 |
| Certified by provider | Apr 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Supports Brokerage Primary | 251X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Supports Brokerage providers in San Bernardino
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