Revive Home Assistance LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

REVIVE HOME ASSISTANCE LLC

Practice address

32784 Ryan Rd
Warren, MI 48092-1112

Phone

(248) 789-3535

NPI assigned

Aug 19, 2026

Last updated

Aug 19, 2026By 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

Varden Bahoura

Title

Member

Phone

(248) 789-3535

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1093621211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4568 FORESTVIEW DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224509",
            "telephone_number": "248-789-3535",
            "fax_number": "248-789-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32784 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921112",
            "telephone_number": "248-789-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE HOME ASSISTANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "BAHOURA",
        "authorized_official_first_name": "VARDEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-789-3535"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rodney Reynolds
• Ryan Reynolds, RN
• Rhema Warren Operating LLC (Advantage Living Center Warren)

• In Home Supportive Care Agency in Warren, MI
• Providers in Warren, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.