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RENEWED HEALTH AND WELLNESS LLC
NPI 1083358378
Nurse Practitioner - Family in Cheshire, CT

Active since April 23, 2022CLIA 07D2315962 · Waiver
615 W JOHNSON AVE STE 202-1061, CHESHIRE, CT 06410(475) 377-0887(806) 454-5698 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 4, 2022, Jun 8, 2022, Apr 23, 2022 (3 updates tracked since 2022).

About Renewed Health And Wellness Llc NPPES

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

RENEWED HEALTH AND WELLNESS LLC (NPI 1083358378) is a healthcare organization registered as a family in Cheshire, Connecticut and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through December 22, 2026, maintains a secondary practice location in Prospect, and lists Awilda Altagracia Lugo Mendez, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1083358378
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRENEWED HEALTH AND WELLNESS LLC
Location Address615 W JOHNSON AVE STE 202-1061Cheshire, CT 06410-4531
Mailing Address615 W Johnson Ave Ste 202-1061Cheshire, CT 06410-4531 · (475) 377-0887 · Fax (806) 454-5698
Phone(475) 377-0887
Fax(806) 454-5698
Organization SubpartNo
Authorized OfficialAwilda Altagracia Lugo MendezManaging Member · (203) 510-1187
Enumeration DateApril 23, 2022
Last NPPES UpdateAugust 4, 20223 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1083358378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
615 W JOHNSON AVE STE 202-1061, Cheshire, CT 06410
Open in Google Maps ↗

Secondary Practice Location 1

Location 131 Summit RdProspect, CT 06712-1442 · Phone (203) 510-1187

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2315962

Renewed Health And Wellness LLC · Prospect, CT
Active · expires Dec 22, 2026
CLIA Number07D2315962
Laboratory TypeMedical Office Private Ow
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorAwilda A. Lugo Mendez
Laboratory Phone(203) 510-1187
Laboratory LocationRenewed Health And Wellness LLC49 Waterbury Road Unit B, Prospect, CT 06712
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Renewed Health And Wellness LLC's NPI number?

The NPI number for Renewed Health And Wellness LLC is 1083358378. It was assigned to this organization in the NPPES registry on April 23, 2022.

Where is Renewed Health And Wellness LLC located?

Renewed Health And Wellness LLC is located at 615 W Johnson Ave Ste 202-1061, Cheshire, CT 06410. The listed phone number is (475) 377-0887.

What is Renewed Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Renewed Health And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2315962) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Renewed Health And Wellness LLC was last updated on August 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.