=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013869932
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NURU HOME HEALTHCARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2026
-----------------------------------------------------
Last Update Date | 02/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1354 BALDWIN ST STE 108
-----------------------------------------------------
City | JENISON
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49428-8937
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-245-8951
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4620 RESTMOR ST SW
-----------------------------------------------------
City | GRANDVILLE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49418-2235
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-245-8951
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | EDWIN OSORO MORANGA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 612-245-9851
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 376K00000X
-----------------------------------------------------
Taxonomy Name | Nurse's Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------