Organization Active NPI

Renewu Wellness , LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1457184764
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RENEWU WELLNESS , LLC
Practice address
1133 Pennsylvania Ave # 202
Baltimore, MD 21201-2005
Phone
(410) 493-0324
NPI assigned
Aug 22, 2024
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Ms. Raylynn Hall
Title
Owner
Phone
(410) 493-0324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1133 Pennsylvania Ave # 202
Baltimore, MD 21201-2005

Mailing address

1133 Pennsylvania Ave # 202
Baltimore, MD 21201-2005
Phone (410) 493-0324

National Provider Directory

National Provider Directory

Locations

1133 Pennsylvania Ave
#202
Baltimore, MD 21201
Phone (410) 493-0324

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1457184764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 PENNSYLVANIA AVE # 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012005",
            "telephone_number": "410-493-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 PENNSYLVANIA AVE # 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012005",
            "telephone_number": "410-493-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWU WELLNESS , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "RAYLYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-493-0324",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.