Revamp Care Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

REVAMP CARE CORP

Practice address

15455 Dallas Pkwy Ste 600
Addison, TX 75001-6760

Phone

(862) 224-2132

NPI assigned

Apr 20, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Bello Abimbola

Title

Ceo

Phone

(862) 224-2132

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1356038160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 DALLAS PKWY STE 600",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016760",
            "telephone_number": "862-224-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 DALLAS PKWY STE 600",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016760",
            "telephone_number": "862-224-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVAMP CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "ABIMBOLA",
        "authorized_official_first_name": "BELLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-224-2132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Reihsen, MD
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• Kaitlynn Elizabeth Rios, LAT, ATC

• Home Health Agency in Addison, TX
• Providers in Addison, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.