Redefined Health and Wellness LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

REDEFINED HEALTH AND WELLNESS LLC

Practice address

4508 Harvest Rd
Temple Hills, MD 20748-3612

Phone

(202) 945-2893

Fax

(240) 628-7472

NPI assigned

May 19, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Reynaldo De la Cruz, FNP-CNPI 1104630003

Title

Nurse Practitioner

Phone

(202) 945-2893

Specialties & licenses 1

Addresses

Tax ID family

Redefined Health and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Redefined Health and Wellness LLC

  • Family Nurse Practitioner
  • Temple Hills, MD
  • NPI 1700700093
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reynaldo De la Cruz Jr.

  • Family Nurse Practitioner
  • Forestville, MD
  • NPI 1104630003
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1023948411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 HARVEST RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207483612",
            "telephone_number": "202-945-2893",
            "fax_number": "240-628-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 HARVEST RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207483612",
            "telephone_number": "202-945-2893",
            "fax_number": "240-628-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEFINED HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "202-945-2893",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Protera Rehabilitation
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• Qualis Home Health Services
• Steven Reddick
• Redefined Health and Wellness LLC
• Bahram Redjaee, M.D.
• Pamela H Reid, OD
• Rejuvenating Care LLC
• Renewed Behaviioral Health and Wellness

• All providers in Temple Hills, MD
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.