Organization Active NPI

Revati Home Care LLC

  • Home Health Registered Nurse
  • Virginia Beach, VA
National Provider Identifier
1003786146
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
REVATI HOME CARE LLC
Practice address
4813 Lauderdale Ave
Virginia Beach, VA 23455-1364
Phone
(313) 264-7589
NPI assigned
Nov 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Sarah Rene Herrera, RN
Title
Ceo
Phone
(313) 264-7589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

4813 Lauderdale Ave
Virginia Beach, VA 23455-1364

Mailing address

4813 Lauderdale Ave
Virginia Beach, VA 23455-1364
Phone (313) 264-7589

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1003786146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 LAUDERDALE AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551364",
            "telephone_number": "313-264-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 LAUDERDALE AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551364",
            "telephone_number": "313-264-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVATI HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-264-7589",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.