Provider Demographics
NPI:1902243249
Name:RENOXX CAREGIVERS, INC.
Entity Type:Organization
Organization Name:RENOXX CAREGIVERS, INC.
Other - Org Name:RENOXX HEALTHSERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESDIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NKIRUKA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:UCHEYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-850-1148
Mailing Address - Street 1:9500 ANNAPOLIS RD STE B2
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2060
Mailing Address - Country:US
Mailing Address - Phone:301-850-1148
Mailing Address - Fax:186-625-0323
Practice Address - Street 1:9500 ANNAPOLIS RD STE B2
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2060
Practice Address - Country:US
Practice Address - Phone:301-850-1148
Practice Address - Fax:186-625-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2021-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
MDR3379251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5488703400Medicaid
MD632205100Medicaid
MD622803800Medicaid