NPIMap

Organization Active NPI

Revival Home Support L.L.C

  • In Home Supportive Care Agency
  • Orlando, FL
National Provider Identifier
1023950615
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REVIVAL HOME SUPPORT L.L.C
Practice address
8725 Wellesley Lake Dr Apt 203
Orlando, FL 32818-6303
Phone
(407) 360-7309
NPI assigned
Apr 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Sara Vercilise Lamothe
Title
Manager
Phone
(407) 360-7309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8725 Wellesley Lake Dr Apt 203
Orlando, FL 32818-6303

Mailing address

8725 Wellesley Lake Dr Apt 203
Orlando, FL 32818-6303
Phone (407) 360-7309

National Provider Directory

National Provider Directory
Tax ID family
Revival Home Support LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1023950615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 WELLESLEY LAKE DR APT 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186303",
            "telephone_number": "407-360-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 WELLESLEY LAKE DR APT 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186303",
            "telephone_number": "407-360-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL HOME SUPPORT L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "LAMOTHE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "VERCILISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-360-7309"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.