Provider Demographics
NPI:1467053579
Name:RENEWED HOME HEALTH, INC.
Entity Type:Organization
Organization Name:RENEWED HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-457-1256
Mailing Address - Street 1:20935 VANOWEN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-3806
Mailing Address - Country:US
Mailing Address - Phone:818-457-1256
Mailing Address - Fax:805-316-6554
Practice Address - Street 1:20935 VANOWEN ST STE 203
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-3806
Practice Address - Country:US
Practice Address - Phone:818-457-1256
Practice Address - Fax:805-316-6554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health