Revival Homecare of Dallas, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

REVIVAL HOMECARE OF DALLAS, INC.

Practice address

9330 LBJ Fwy
Suit 900
Dallas, TX 75243-3436

Phone

(171) 833-8630

NPI assigned

May 6, 2013

Last updated

May 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Natalya Chornaya, RN

Title

Nurse Supervisor

Phone

(347) 302-3425

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1073958922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E 5TH ST",
            "address_2": "UNIT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182403",
            "telephone_number": "718-338-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 LBJ FWY",
            "address_2": "SUIT 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433436",
            "telephone_number": "171-833-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL HOMECARE OF DALLAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "CHORNAYA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "NURSE SUPERVISOR",
        "authorized_official_telephone_number": "347-302-3425",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Rever, PT, DPT
• Marta Revilla-Leon, DDS, MSD
• Leslie Revilla
• Revision Counseling Services
• Revival Dermatology PLLC
• Revive Health
• Revive PCMS Highland Park PLLC
• Revive Therapeutic Center
• Revive to Thrive Wellness Center, PLLC
• Revive Whole Life Solutions LLC

• Home Health Agency in Dallas, TX
• Providers in Dallas, 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 May 6, 2013; 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.