MEDICARE: SENVORA HEALTH GROUP 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	253Z00000X	In Home Supportive Care Agency
2	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1376475517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENVORA HEALTH GROUP LLC

Provider Business Mailing Address
First Line	:	6319 ARPEGGIO PL
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-1992
Country	:	US
Telephone Number	:	919-449-5005
Fax Number	:

Provider Business Practice Location Address
First Line	:	6319 ARPEGGIO PL
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-1992
Country	:	US
Telephone Number	:	919-449-5005
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JERRY MOMANYI MONYENYE
Credential	:
Telephone Number	:	919-449-5005

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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