Organization Active NPI

Revelation Caregiving Agency LLC

  • In Home Supportive Care Agency
  • Aldan, PA
National Provider Identifier
1376338541
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REVELATION CAREGIVING AGENCY LLC
Practice address
815 Springfield Rd
Aldan, PA 19018-4301
Phone
(267) 584-8428
NPI assigned
Apr 10, 2025
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Idrissa Sankoh
Title
President
Phone
(267) 584-8428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

815 Springfield Rd
Aldan, PA 19018-4301

Mailing address

815 Springfield Rd
Aldan, PA 19018-4301
Phone (267) 584-8428

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1376338541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SPRINGFIELD RD",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "190184301",
            "telephone_number": "267-584-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SPRINGFIELD RD",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "190184301",
            "telephone_number": "267-584-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATION CAREGIVING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "SANKOH",
        "authorized_official_first_name": "IDRISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-584-8428"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aldan, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.