RENEW U THERAPY – NPI #1366237000
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

RENEW U THERAPY is a substance abuse rehabilitation facility located in GRAND TERRACE, CA. NPPES has assigned the NPI number 1366237000 to RENEW U THERAPY on April 12, 2025. 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 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

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 RENEW U THERAPY below.

NPI Profile for
RENEW U THERAPY

NPI Number
1366237000
Enumeration Date

(more than a year 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
RENEW U THERAPY
Primary location
12319 MOUNT VERNON AVE
GRAND TERRACE, CA 92313
Phone: (951) 217-9363 Fax:
1 Other location(s):
25320 Lurin Ave
Moreno Valley, CA 92551-2405
Phone: (951) 217-9363
Mailing address
PO BOX 8461
MORENO VALLEY, CA 92552-8461
Phone: (951) 217-9363 Fax:
Organization Subpart
No
Authorized Official
SIAMAK EHTESHAMZADEH
CEO
Phone: (951) 217-9363
Updated
Certification Date
Apr 12, 2025

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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder

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.