NPIMap

Organization Active NPI

H&H BSQ LLC

Doing business as Renewed Vitality

  • General Practice Physician
  • Wyomissing, PA
National Provider Identifier
1336765080
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
H&H BSQ LLC
Doing business as
Renewed Vitality
Practice address
560 Van Reed Rd Ste 101
Wyomissing, PA 19610-1799
Phone
(484) 516-2937
Fax
(484) 930-0229
NPI assigned
Jun 18, 2020
Last updated
Jul 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Rebecca McClure, NP-CNPI 1326269473
Title
Authorized Official
Phone
(484) 516-2937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X

Addresses

Primary practice location

560 Van Reed Rd Ste 101
Wyomissing, PA 19610-1799

Mailing address

560 Van Reed Rd Ste 101
Wyomissing, PA 19610-1799
Phone (484) 516-2937

Other names 1

  • Renewed Vitality Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1336765080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 VAN REED RD STE 101",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101799",
            "telephone_number": "484-516-2937",
            "fax_number": "484-930-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 VAN REED RD STE 101",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101799",
            "telephone_number": "484-516-2937",
            "fax_number": "484-930-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H&H BSQ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "484-516-2937",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewed Vitality",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renewed Vitality",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.