Renewed Light LLC
NPI 1104578889 · Mental Health Clinic/Center (Including Community Mental Health Center) · West Deptford, NJ
Renewed Light LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in West Deptford, NJ (NPI 1104578889).
Provider details
- NPI number
- 1104578889
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicholas Desimone, Ceo/Owner(856) 508-4925
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-01-24
- Last updated
- 2022-01-24
- Certified
- 2022-01-20
Frequently asked questions
- What is Renewed Light LLC's NPI number?
- Renewed Light LLC's National Provider Identifier (NPI) is 1104578889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renewed Light LLC?
- Renewed Light LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Renewed Light LLC located?
- Renewed Light LLC's practice location on file with NPPES is 1225 N Broad St Ste 1, West Deptford, NJ 08096-1203.
- What is Renewed Light LLC's phone number?
- The practice phone number listed in the NPPES registry for Renewed Light LLC is (856) 508-4925.
- Who is the authorized official for Renewed Light LLC?
- The authorized official listed on Renewed Light LLC's NPPES record is Nicholas Desimone, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renewed Light LLC's NPI active?
- Yes — Renewed Light LLC's NPI (1104578889) is active in the NPPES registry as of the last update on 2022-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.