Organization Active NPI

Revive Home Healthcare LLC

  • Home Health Agency
  • Lakewood Ranch, FL
National Provider Identifier
1235953548
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REVIVE HOME HEALTHCARE LLC
Practice address
9015 Town Center Pkwy Unit 135
Lakewood Ranch, FL 34202-5308
Phone
(941) 263-8058
Fax
(941) 263-8074
NPI assigned
Nov 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Mayankkumar Baladevbhai PatelNPI 1588387856
Title
Cfo
Phone
(845) 903-2312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

9015 Town Center Pkwy Unit 135
Lakewood Ranch, FL 34202-5308

Mailing address

9015 Town Center Pkwy Unit 135
Lakewood Ranch, FL 34202-5308
Phone (941) 263-8058

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2336360Revive Home Healthcare LLC9015 Town Center Pkwy, Unit 135, Lakewood Ranch, FL 34202Certificate of waiverDec 30, 2027

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1235953548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 TOWN CENTER PKWY UNIT 135",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025308",
            "telephone_number": "941-263-8058",
            "fax_number": "941-263-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 TOWN CENTER PKWY UNIT 135",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025308",
            "telephone_number": "941-263-8058",
            "fax_number": "941-263-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAYANKKUMAR",
        "authorized_official_middle_name": "BALADEVBHAI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-903-2312"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.