Active NPI
Renova Care Inc
- Clinic/Center
- Elmhurst, IL
National Provider Identifier
1770497091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- RENOVA CARE INC
- Practice address
- 627 N York St
Elmhurst, IL 60126-1620 - Phone
- (346) 771-1189
- NPI assigned
- Oct 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taraka Pavan Kalyan Orsu
- Title
- Clinic/Center
- Phone
- (346) 771-1189
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary | |
| Primary Care Clinic/Center | 261QP2300X | NU |
Addresses
Primary practice location
627 N York St
Elmhurst, IL 60126-1620
Mailing address
627 N York St
Elmhurst, IL 60126-1620
Phone (270) 263-2698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790812800000",
"number": "1770497091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 N YORK ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601261620",
"telephone_number": "270-263-2698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 N YORK ST",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601261620",
"telephone_number": "346-771-1189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENOVA CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A",
"authorized_official_last_name": "ORSU",
"authorized_official_first_name": "TARAKA PAVAN KALYAN",
"authorized_official_title_or_position": "CLINIC/CENTER",
"authorized_official_telephone_number": "346-771-1189"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.