Renewed Health and Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RENEWED HEALTH AND WELLNESS LLC

Practice address

615 W Johnson Ave Ste 202-1061
Cheshire, CT 06410-4531

Phone

(475) 377-0887

Fax

(806) 454-5698

NPI assigned

Apr 23, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Awilda Altagracia Lugo Mendez, FNPNPI 1821534215

Title

Managing Member

Phone

(203) 510-1187

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Tax ID family

Renewed 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.

• Renewed Health and Wellness LLC

  • Health Service Clinic/Center
  • Prospect, CT
  • NPI 1720737851
  NPD tax ID

Locations

Practitioners 1

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

• Awilda Altagracia Lugo Mendez, APRN

  • Family Nurse Practitioner
  • Waterbury, CT
  • NPI 1821534215
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1083358378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W JOHNSON AVE STE 202-1061",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104531",
            "telephone_number": "475-377-0887",
            "fax_number": "806-454-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W JOHNSON AVE STE 202-1061",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104531",
            "telephone_number": "475-377-0887",
            "fax_number": "806-454-5698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Prospect",
            "state": "CT",
            "postal_code": "067121442",
            "country_code": "US",
            "telephone_number": "203-510-1187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEWED HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "LUGO MENDEZ",
        "authorized_official_first_name": "AWILDA",
        "authorized_official_middle_name": "ALTAGRACIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-510-1187",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Reidemeister
• Gina Reiners, APRN
• Reinhold Hekeler Dba Counseling Associates
• Suzanne Adriana Remington-Fox, BCBA
• Renew Resources LLC
• Restoring You Wellness Center LLC
• John Joseph Revere Jr., RPH
• Elizabeth Marilyn Reynolds
• Shiva Rezvan Homami, PH.D.
• Caylee Ribeiro

• Family Nurse Practitioner in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.