Active NPI
Restore Wellness LLC
- Health & Wellness Coach
- Ellington, CT
National Provider Identifier
1073231882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Legal business name
- RESTORE WELLNESS LLC
- Practice address
- 10 High Ridge Rd
Ellington, CT 06029-4239 - Phone
- (860) 281-4205
- NPI assigned
- Aug 17, 2022
- Last updated
- Aug 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhonda Garrow
- Title
- Owner
- Phone
- (860) 281-4205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | NU | Primary |
Addresses
Primary practice location
10 High Ridge Rd
Ellington, CT 06029-4239
Mailing address
10 High Ridge Rd
Ellington, CT 06029-4239
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660694400000",
"number": "1073231882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HIGH RIDGE RD",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060294239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HIGH RIDGE RD",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060294239",
"telephone_number": "860-281-4205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A",
"authorized_official_last_name": "GARROW",
"authorized_official_first_name": "RHONDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-281-4205"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.