Healthcare Provider Details

I. General information

NPI: 1902784341
Provider Name (Legal Business Name): RENEWED HOPE HOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11295 FERN LN
HANFORD CA
93230-6332
US

IV. Provider business mailing address

11295 FERN LN
HANFORD CA
93230-6332
US

V. Phone/Fax

Practice location:
  • Phone: 559-852-7425
  • Fax: 559-670-3556
Mailing address:
  • Phone: 559-852-7425
  • Fax: 559-670-3556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SIMON TORRES
Title or Position: DIRECTOR
Credential:
Phone: 619-547-8803