OrganizationActive
Renewed Impressions of Life LLC
NPI 1578358834 · Supports Brokerage Agency · San Bernardino, CA
Renewed Impressions of Life LLC is a Supports Brokerage Agency organization in San Bernardino, CA (NPI 1578358834).
Provider details
- NPI number
- 1578358834
- Entity type
- Organization
- Primary specialty
- Supports Brokerage AgencyAgencies
- Organization subpart
- No
- Authorized official
- Keyva Herndon, Ceo(909) 771-5471
Specialties & taxonomies
Agencies
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6525 Elm Ave
San Bernardino, CA 92404-5701
Phone: (909) 771-5471
Street-level locationGet directions
Mailing address
6525 Elm Ave
San Bernardino, CA 92404-5701
Registry dates
- Enumerated
- 2025-04-09
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Frequently asked questions
- What is Renewed Impressions of Life LLC's NPI number?
- Renewed Impressions of Life LLC's National Provider Identifier (NPI) is 1578358834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renewed Impressions of Life LLC?
- Renewed Impressions of Life LLC is classified in the NPPES registry as Supports Brokerage Agency (Agencies).
- Where is Renewed Impressions of Life LLC located?
- Renewed Impressions of Life LLC's practice location on file with NPPES is 6525 Elm Ave, San Bernardino, CA 92404-5701.
- What is Renewed Impressions of Life LLC's phone number?
- The practice phone number listed in the NPPES registry for Renewed Impressions of Life LLC is (909) 771-5471.
- Who is the authorized official for Renewed Impressions of Life LLC?
- The authorized official listed on Renewed Impressions of Life LLC's NPPES record is Keyva Herndon, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renewed Impressions of Life LLC's NPI active?
- Yes — Renewed Impressions of Life LLC's NPI (1578358834) is active in the NPPES registry as of the last update on 2025-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.