NPIMap

Organization Active NPI

Revere Care Inc.

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1124774260
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REVERE CARE INC.
Practice address
8064 N Point Blvd Ste 105
Winston Salem, NC 27106-3235
Phone
(336) 760-8001
Fax
(336) 760-8030
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Mrs. Denise Bustos
Title
Franchise Owner - Ceo
Phone
(336) 760-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8064 N Point Blvd Ste 105
Winston Salem, NC 27106-3235

Mailing address

8064 N Point Blvd Ste 105
Winston Salem, NC 27106-3235
Phone (336) 760-8001

Other names 1

  • Home Instead Doing business as

National Provider Directory

National Provider Directory

Locations

8064 N Point Blvd
Ste 105
Winston Salem, NC 27106
Phone (336) 760-8001

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1124774260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8064 N POINT BLVD STE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063235",
            "telephone_number": "336-760-8001",
            "fax_number": "336-760-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8064 N POINT BLVD STE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063235",
            "telephone_number": "336-760-8001",
            "fax_number": "336-760-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "FRANCHISE OWNER - CEO",
        "authorized_official_telephone_number": "336-760-8001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.