Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renewed Impressions of Life LLC

Organization Supports Brokerage Agency · NPI 1578358834

Renewed Impressions of Life LLC is a Supports Brokerage Agency in San Bernardino, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6525 Elm Ave
San Bernardino, CA 92404-5701
Phone: (909) 771-5471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Supports Brokerage Agency (primary) Taxonomy 251X00000X

Record details

NPI number1578358834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keyva Herndon — Ceo · (909) 771-5471
NPI enumeratedApril 9, 2025
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address6525 Elm Ave, San Bernardino, CA 92404-5701

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