Provider Demographics
NPI:1356753107
Name:RETNUH HEALTH LLC
Entity type:Organization
Organization Name:RETNUH HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:BELETA
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:BSHA/LTC, MBA-HCM
Authorized Official - Phone:888-879-1856
Mailing Address - Street 1:450 W BROAD ST # 412
Mailing Address - Street 2:RETNUH HEALTH, LLC
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3340
Mailing Address - Country:US
Mailing Address - Phone:888-879-1856
Mailing Address - Fax:
Practice Address - Street 1:450 W BROAD ST # 412
Practice Address - Street 2:RETNUH HEALTH, LLC
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3340
Practice Address - Country:US
Practice Address - Phone:888-879-1856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA49D2067382291U00000X
VA0206009831332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No291U00000XLaboratoriesClinical Medical Laboratory