RENAUD FRUITFUL LIVING – NPI #1760332571
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

RENAUD FRUITFUL LIVING is a community based residential treatment facility located in BOWIE, MD. NPPES has assigned the NPI number 1760332571 to RENAUD FRUITFUL LIVING on January 31, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENAUD FRUITFUL LIVING below.

NPI Profile for
RENAUD FRUITFUL LIVING

NPI Number
1760332571
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RENAUD FRUITFUL LIVING
Primary location
3103 STONYBROOK DR
BOWIE, MD 20715-1908
Phone: (718) 813-6711 Fax:
Mailing address
9564 FORT FOOTE RD
FORT WASHINGTON, MD 20744-5703
Phone: Fax:
Organization Subpart
No
Authorized Official
KIOMA RENAUD
EXECUTIVE DIRECTOR
Phone: (718) 813-6711
Updated
Certification Date
Jan 30, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
3104A0630X
- Assisted Living Facility / Assisted Living, Behavioral Disturbances

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.