MEDICARE: NURU HOME HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1013869932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURU HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	4620 RESTMOR ST SW
Second Line	:
City	:	GRANDVILLE
State	:	MI
Zip	:	49418-2235
Country	:	US
Telephone Number	:	612-245-8951
Fax Number	:

Provider Business Practice Location Address
First Line	:	1354 BALDWIN ST STE 108
Second Line	:
City	:	JENISON
State	:	MI
Zip	:	49428-8937
Country	:	US
Telephone Number	:	612-245-8951
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EDWIN OSORO MORANGA
Credential	:
Telephone Number	:	612-245-9851

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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