RENEWED LIGHT LLC
NPI 1104578889
Clinic/Center - Mental Health (Including Community Mental Health Center) in West Deptford, NJ

Q: What is Renewed Light LLC's NPI number?

The NPI number for Renewed Light LLC is 1104578889. It was assigned to this organization in the NPPES registry on January 24, 2022.

Q: What is Renewed Light LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Renewed Light LLC was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since January 24, 2022

1225 N BROAD ST STE 1, WEST DEPTFORD, NJ 08096(856) 508-4925(856) 861-1216 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Renewed Light Llc NPPES

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

RENEWED LIGHT LLC (NPI 1104578889) is a healthcare organization registered as a mental health (including community mental health center) in West Deptford, New Jersey and active in the NPI registry since January 2022. The organization lists Nicholas Desimone, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1104578889

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameRENEWED LIGHT LLC

Location Address1225 N BROAD ST STE 1West Deptford, NJ 08096-1203

Mailing Address1225 N Broad St Ste 1West Deptford, NJ 08096-1203 · (856) 508-4925 · Fax (856) 861-1216

Phone(856) 508-4925

Fax(856) 861-1216

Organization SubpartNo

Authorized OfficialNicholas DesimoneCeo/owner · (856) 508-4925

Enumeration DateJanuary 24, 2022

NPPES CertifiedJanuary 20, 2022

✔ NPI 1104578889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

1225 N BROAD ST STE 1, West Deptford, NJ 08096

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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 Light LLC's NPI number?

The NPI number for Renewed Light LLC is 1104578889. It was assigned to this organization in the NPPES registry on January 24, 2022.

Where is Renewed Light LLC located?

Renewed Light LLC is located at 1225 N Broad St Ste 1, West Deptford, NJ 08096. The listed phone number is (856) 508-4925.

What is Renewed Light LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Renewed Light LLC was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.