Provider Demographics
NPI:1558138479
Name:RENEW AND RECOVER HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:RENEW AND RECOVER HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMEILA
Authorized Official - Middle Name:TRANAE
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-316-8353
Mailing Address - Street 1:3774 SOFT WIND DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-6529
Mailing Address - Country:US
Mailing Address - Phone:614-316-8353
Mailing Address - Fax:
Practice Address - Street 1:3774 SOFT WIND DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-6529
Practice Address - Country:US
Practice Address - Phone:614-316-8353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health