Regenerise Health LLC
Clinic/Center in Wallingford, Connecticut
1083317390- Practice location
- 300 Church St, Wallingford, CT 06492-2253
- Phone
- 860-994-7339
- Fax
- —
- Last updated
- October 20, 2024
Regenerise Health LLC is a healthcare organization based in Wallingford, CT. Regenerise Health LLC practices in Wallingford, CT. The NPI Number for Regenerise Health LLC is 1083317390. The current practice location address for Regenerise Health LLC is 300 Church St, Wallingford, CT 06492-2253 and can be reached out via phone at 860-994-7339.
Provider Profile Details
- NPI Number
- 1083317390
- Provider Name
- Regenerise Health LLC
- Provider Entity Type
- Organization
- Address
- 300 Church St, Wallingford, CT 06492-2253
- Phone Number
- 860-994-7339
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Authurine Hannam-Davis, NP · Family Nurse Practitioner · 860-994-7339
- Other Names
- Regenerise Health LLC (Former Legal Business Name)
- Provider Enumeration Date
- March 24, 2023
- Last Update Date
- October 20, 2024
- Certification Date
- October 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Church St
Wallingford, CT 06492-2253 - City
- Wallingford
- State
- Connecticut
- Zip
- 06492-2253
- Phone Number
- 860-994-7339
Provider Business Mailing Address Details
- Address
- 300 Church St Ste 103
Wallingford, CT 06492-2253 - City
- Wallingford
- State
- CT
- Zip
- 06492-2253
- Phone Number
- 860-994-7339
License Information
- Taxonomy (1)
- Clinic/Center · 261Q00000X · Primary
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Centers near Wallingford, CT
View all Clinic/Centers in Wallingford →Frequently Asked Questions
What is the NPI number of Regenerise Health LLC?
The NPI number of Regenerise Health LLC is 1083317390. It was assigned on March 24, 2023 and is currently active in the NPPES registry.
What is the specialty of Regenerise Health LLC?
Regenerise Health LLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does Regenerise Health LLC practice?
The practice location is 300 Church St, Wallingford, CT 06492-2253. The office can be reached at 860-994-7339 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083317390 directly on the NPPES registry website.