Organization Active NPI

Consolidated Health and Wellness LLC

  • Primary Care Clinic/Center
  • Torrington, CT
National Provider Identifier
1750158234
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CONSOLIDATED HEALTH AND WELLNESS LLC
Practice address
168 S Main St Ste 2
Torrington, CT 06790-6448
Phone
(609) 700-0788
Fax
(860) 970-0393
NPI assigned
Dec 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Ms. Lisa Haut, APRNNPI 1962400150
Title
Owner
Phone
(860) 946-3395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

168 S Main St Ste 2
Torrington, CT 06790-6448

Mailing address

32 Partridge Rd
Warren, CT 06754-1726
Phone (860) 946-3395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409002929 CT Part B Supplier - Clinic/Group Practice 1658719752 Receives reassigned benefits from 2 practitioners
Practice locations: Torrington, CT

National Provider Directory

National Provider Directory

Locations

177 Prospect St
Torrington, CT 06790
Phone (203) 770-8897

168 S Main St
Ste B
Torrington, CT 06790

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1750158234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PARTRIDGE RD",
            "city": "WARREN",
            "state": "CT",
            "postal_code": "067541726",
            "telephone_number": "860-946-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 S MAIN ST STE 2",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906448",
            "telephone_number": "609-700-0788",
            "fax_number": "860-970-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLIDATED HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "HAUT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-946-3395",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.