MEDICARE: RENACH CARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1992646178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENACH CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	109 CHASE LANDING DR
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-6523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 CHASE LANDING DR
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-6523
Country	:	US
Telephone Number	:	610-551-7066
Fax Number	:

Authorized Official
Title or Position	:	AGENCY ADMINISTRATOR
Name	:	IRENE NWACHUKWU
Credential	:
Telephone Number	:	610-551-7066

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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Directions to “RENACH CARE SERVICES, LLC ” Practice Location

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