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

NPI Status: Active since April 23, 2022

Contact Information

615 W JOHNSON AVE STE 202-1061
CHESHIRE, CT
ZIP 06410
Phone: (475) 377-0887
Fax: (806) 454-5698

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 07D2315962
  • CLIA Cert. Type: Other - MEDICAL OFFICE PRIVATE OW
  • CLIA Exp. Date: 12-22-2026

About RENEWED HEALTH AND WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Renewed Health And Wellness Llc, a provider established in Cheshire, Connecticut operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1083358378 assigned on April 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Awilda Altagracia Lugo Mendez Fnp (Managing Member)

NPI
1083358378
Provider Name
RENEWED HEALTH AND WELLNESS LLC
Entity Type
Organization
Location Address
615 W JOHNSON AVE STE 202-1061 CHESHIRE, CT 06410
Location Phone
(475) 377-0887
Location Fax
(806) 454-5698
Mailing Address
615 W JOHNSON AVE STE 202-1061 CHESHIRE, CT 06410
Mailing Phone
(475) 377-0887
Mailing Fax
(806) 454-5698
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2022
Last Update Date
08-04-2022
Code Navigator

A nurse practitioner (NP) like Renewed Health And Wellness Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 31 Summit Rd
    Prospect, CT 06712
    (203) 510-1187

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. AWILDA ALTAGRACIA LUGO MENDEZ FNP

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(203) 510-1187

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D2315962
Facility Type
Other - MEDICAL OFFICE PRIVATE OW
Certificate Effective Date
December 23, 2024
Certificate Expiration Date
December 22, 2026
Laboratory Director
AWILDA A. LUGO MENDEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Renewed Health And Wellness Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083358378, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 6 + 5 + 1 + 6 + 3 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1083358378.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083358378, enumerated as an "organization" on April 23, 2022.

The provider is located at 615 W JOHNSON AVE STE 202-1061 CHESHIRE, CT 06410 and the phone number is (475) 377-0887.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.