Revolutionary Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

05670501 Issued in PA

Legal business name

REVOLUTIONARY HOME HEALTH, INC

Practice address

110 Pennsylvania Ave Ste 200
Oreland, PA 19075-1229

Phone

(215) 600-3360

Fax

(215) 600-3359

NPI assigned

Feb 18, 2016

Last updated

Mar 7, 2023By 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

Dr. Kathleen Marie Evanina, CRNP

Title

Administrator

Phone

(570) 233-0602

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205295227. Details of each certification follow.

• CCN 398241 Home health agency · Active · Details

Home health agency certification: CCN 398241

Legal name

REVOLUTIONARY HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 3, 2015

Last certification

Aug 22, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 20, 2014 in PA

Enrollment address

110 Pennsylvania Ave
Ste 200
Oreland, PA 19075

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Revolutionary Home Health Inc

  • Home Health Agency
  • Quakertown, PA
  • NPI 1154653475

  9830132331

  Same PAC ID
• Revolutionary Home Health Inc

  dba Revolutionary Hospice

  • Community Based Hospice Care Agency
  • Eynon, PA
  • NPI 1639566557

  9830132331

  Same PAC ID
• Revolutionary Home Health, Inc.

  • Home Health Agency
  • Eynon, PA
  • NPI 1457359747

  9830132331

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Revolutionary Home Health, Inc.

  • Home Health Agency
  • Eynon, PA
  • NPI 1457359747

  O20150309000392

  Same enrollment

Listed as

Revolutionary Home Health Inc.CCN 398241 · All quality measures

Overall star rating

5 of 5

Ownership

Proprietary

Certified

Nov 3, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Revolutnry HME HLTH Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Revolutionary Home Health Inc

  • Home Health Agency
  • Quakertown, PA
  • NPI 1154653475
  NPD tax ID
• Revolutionary Home Health Inc

  dba Revolutionary Hospice

  • Community Based Hospice Care Agency
  • Eynon, PA
  • NPI 1639566557
  NPD tax ID
• Revolutionary Home Heatlh, Inc

  • Home Health Agency
  • Allentown, PA
  • NPI 1518327345
  NPD tax ID

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kathleen Evanina, NP

  • Nurse Practitioner
  • Eynon, PA
  • NPI 1427024710

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, Other, W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1205295227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 SCRANTON CARBONDALE HWY",
            "city": "EYNON",
            "state": "PA",
            "postal_code": "184031020",
            "telephone_number": "570-383-7502",
            "fax_number": "877-848-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PENNSYLVANIA AVE STE 200",
            "city": "ORELAND",
            "state": "PA",
            "postal_code": "190751229",
            "telephone_number": "215-600-3360",
            "fax_number": "215-600-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTIONARY HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "EVANINA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-233-0602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "05670501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oreland Family Chiropractic
• Aslene Elaine Palmer, M.D.
• Patricia Streit Perez, ATC
• Nicole J Pimble, LCSW
• Lenore Buntin Plotkin
• Susan Marie Sabin, PH.D.
• Salmon Speech Pathology LLC
• Elizabeth Scheer
• Catherine Mari Senior, LPC
• Hirvaben P Sheth, B.P.T.

• Home Health Agency in Oreland, PA
• Providers in Oreland, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.