MEDICARE: RE-NU HOME HEALTH SERVICES, INC.

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	251E00000X	Home Health Agency	012604	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861638421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RE-NU HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	3700 W 5 MILE RD
Second Line	:	STE. B
City	:	MISSION
State	:	TX
Zip	:	78574
Country	:	US
Telephone Number	:	956-766-7157
Fax Number	:	888-814-8706

Provider Business Practice Location Address
First Line	:	3700 W 5 MILE RD
Second Line	:	STE. B
City	:	MISSION
State	:	TX
Zip	:	78574
Country	:	US
Telephone Number	:	956-766-7157
Fax Number	:	888-814-8706

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	ESPERANZA PENA
Credential	:	RN
Telephone Number	:	956-766-7157

Provider Enumeration Date	:	12/31/2008
Last Update Date	:	11/30/2018

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Directions to “RE-NU HOME HEALTH SERVICES, INC. ” Practice Location

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