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REGENERISE HEALTH LLC
NPI 1083317390
Clinic/Center in Wallingford, CT

Active since March 24, 2023
300 CHURCH ST, WALLINGFORD, CT 06492(860) 994-7339 Get Directions Write a Review

NPPES record last updated: October 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2023, Mar 24, 2023 (2 updates tracked since 2023).

About Regenerise Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGENERISE HEALTH LLC (NPI 1083317390) is a healthcare organization registered as a clinic/center in Wallingford, Connecticut and active in the NPI registry since March 2023. The organization lists Authurine Hannam-davis, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1083317390
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREGENERISE HEALTH LLC
Location Address300 CHURCH STWallingford, CT 06492-2253
Mailing Address300 Church St Ste 103Wallingford, CT 06492-2253 · (860) 994-7339
Phone(860) 994-7339
Organization SubpartNo
Authorized OfficialAuthurine Hannam-davisFamily Nurse Practitioner · (860) 994-7339
Enumeration DateMarch 24, 2023
Last NPPES UpdateOctober 20, 20242 updates tracked since enumeration
NPPES CertifiedOctober 20, 2024
✔ NPI 1083317390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
300 CHURCH ST, Wallingford, CT 06492
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Other Names 1

Former Legal Business NameRegenerise Health Llc

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SILVIA SANDOVAL, LCSW
Social Worker (Clinical)
300 CHURCH ST, STE.202
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 265-7770
SANDRA GONSALVES LCSW
Social Worker (Clinical)
300 CHURCH ST, SUITE 202
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 265-7770
DAVID G GLAZER D.M.D.
Dentist (General Practice)
300 CHURCH ST
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 269-5557
MICHELLE ESPOSITO M.ED., LPC
Counselor (Professional)
300 CHURCH ST
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 265-7770
JENNA MARIE NADEAU CAMEROTA LCSW
Psychologist (Group Psychotherapy)
300 CHURCH ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 980-2079
SOUL FRIENDS, INC
Community/Behavioral Health
300 CHURCH ST, SUITE 105
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-0849
EVAN D MCCLURE MS, LPC
Counselor (Professional)
300 CHURCH ST, SUITE 202
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 592-7227
TRANSFORMATIVE PROGRESSIONS LLC
Counselor (Professional)
300 CHURCH ST
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 265-7770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regenerise Health LLC's NPI number?

The NPI number for Regenerise Health LLC is 1083317390. It was assigned to this organization in the NPPES registry on March 24, 2023.

Where is Regenerise Health LLC located?

Regenerise Health LLC is located at 300 Church St, Wallingford, CT 06492. The listed phone number is (860) 994-7339.

What is Regenerise Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Regenerise Health LLC was last updated on October 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.