Renewed Health and Wellness LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

RENEWED HEALTH AND WELLNESS LLC

Practice address

31 Summit Rd
Prospect, CT 06712-1442

Phone

(203) 510-1187

NPI assigned

Mar 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, NURSE PRACTITIONERNPI 1821534215

Title

Managing Member

Phone

(203) 510-1187

Specialties & licenses 1

Addresses

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

  • Family Nurse Practitioner
  • Cheshire, CT
  • NPI 1083358378
  NPD tax ID

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
  NPD Authorized official

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1720737851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SUMMIT RD",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121442",
            "telephone_number": "203-510-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SUMMIT RD",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121442",
            "telephone_number": "203-510-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-19",
        "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": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospect Pharmacy LLC
• Quest Diagnostics LLC
• Mary Ann Reagan, LMFT
• Region #16
• Olivia Madalena Dasilva Rego, RDH
• Restoration Health and Wellness Services
• Shayan Ozhen Riahi, DO
• Shea Orein Richard, CCC-SLP
• Rifkin Medical Products LLC
• Rifkin Physical Therapy & Lymphedema Center LLC

• Health Service Clinic/Center in Prospect, CT
• Providers in Prospect, CT by specialty
• Health Service Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.