Organization Active NPI

Revelation Home Health Care

  • In Home Supportive Care Agency
  • Rock Hill, SC
National Provider Identifier
1245750041
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REVELATION HOME HEALTH CARE
Practice address
331 E. Main Street
Rock Hill, SC 29730
Phone
(803) 909-9358
NPI assigned
Jun 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Authorized official

Name
Maurice Young
Title
Ceo
Phone
(202) 567-9628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X SC Primary

Addresses

Primary practice location

331 E. Main Street
Rock Hill, SC 29730

Mailing address

6904 Pleasant Grove Rd
Charlotte, NC 28216-1319
Phone (202) 567-9628

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1245750041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6904 PLEASANT GROVE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161319",
            "telephone_number": "202-567-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E. MAIN STREET",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29730",
            "telephone_number": "803-909-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATION HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-567-9628"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.