RENEWED VITALITY – NPI #1336765080
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

RENEWED VITALITY is a provider located in WYOMISSING, PA. NPPES has assigned the NPI number 1336765080 to RENEWED VITALITY on June 18, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RENEWED VITALITY” is a dba name, the actual legal business name for this organization is H&H BSQ LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 3 years ago on Jul 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENEWED VITALITY below.

NPI Profile for
H&H BSQ LLC

NPI Number
1336765080
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
H&H BSQ LLC
Doing Business As (dba): RENEWED VITALITY
Primary location
560 VAN REED RD STE 101
WYOMISSING, PA 19610-1799
Phone: (484) 516-2937 Fax: (484) 930-0229
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
REBECCA MCCLURE
AUTHORIZED OFFICIAL
Phone: (484) 516-2937
Updated
Certification Date
Jul 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
363LW0102X
- Nurse Practitioner / Women's Health
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.