Healthcare Provider Details

I. General information

NPI: 1013869932
Provider Name (Legal Business Name): NURU HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1354 BALDWIN ST STE 108
JENISON MI
49428-8937
US

IV. Provider business mailing address

4620 RESTMOR ST SW
GRANDVILLE MI
49418-2235
US

V. Phone/Fax

Practice location:
  • Phone: 612-245-8951
  • Fax:
Mailing address:
  • Phone: 612-245-8951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: EDWIN OSORO MORANGA
Title or Position: OWNER
Credential:
Phone: 612-245-9851