Renaviv Home LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RENAVIV HOME LLC

Practice address

12941 North Fwy Ste 433
Houston, TX 77060-1243

Phone

(832) 291-7226

NPI assigned

Oct 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sergio BuesoNPI 1568188233

Title

Owner

Phone

(832) 291-7226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 748178

Legal name

RENAVIV HOME LLC

Doing business as

RENAVIV HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 19, 2025

Last certification

Nov 20, 2025

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

12941 North Freeway
Ste 750-22
Houston, TX 77060

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergio David Bueso

  • Case Manager/Care Coordinator
  • Katy, TX
  • NPI 1568188233
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1679394423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12941 NORTH FWY STE 433",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770601243",
            "telephone_number": "832-291-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12941 NORTH FWY STE 433",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770601243",
            "telephone_number": "832-291-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAVIV HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "BUESO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-291-7226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.