1. Home
  2. Directory
  3. Connecticut
  4. Prospect
  5. Clinic Center
  6. NPI Profile

RENEWED HEALTH AND WELLNESS LLC
NPI 1720737851
Clinic/Center - Health Service in Prospect, CT

Active since March 23, 2022CLIA 07D2315962 · Waiver
31 SUMMIT RD, PROSPECT, CT 06712(203) 510-1187 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 1720737851) is a healthcare organization registered as a health service in Prospect, Connecticut and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Awilda Altagracia Lugo Mendez, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1720737851
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameRENEWED HEALTH AND WELLNESS LLC
Location Address31 SUMMIT RDProspect, CT 06712-1442
Mailing Address31 Summit RdProspect, CT 06712-1442 · (203) 510-1187
Phone(203) 510-1187
Organization SubpartNo
Authorized OfficialAwilda Altagracia Lugo MendezManaging Member · (203) 510-1187
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 19, 2022
✔ NPI 1720737851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
31 SUMMIT RD, Prospect, CT 06712
Open in Google Maps ↗

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 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

What is RENEWED HEALTH AND WELLNESS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1720737851, enumerated as an "organization" on March 23, 2022.

Where is the provider located?

The provider is located at 31 SUMMIT RD PROSPECT, CT 06712 and the phone number is (203) 510-1187.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.