Revival Texas Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

REVIVAL TEXAS HOME HEALTH, LLC

Practice address

6713 Broadway St Ste H
Pearland, TX 77581-5768

Phone

(713) 995-6266

Fax

(888) 326-0168

NPI assigned

Jan 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Akram Elzend, PT, DPT, MBA&M

Title

President &M

Phone

(888) 225-6905

Specialties & licenses 1

Addresses

Other names 1

• Revival Texas Home Health, LLC Former legal business name

Locations

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1407329196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6713 BROADWAY ST STE H",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815768",
            "telephone_number": "713-995-6266",
            "fax_number": "888-326-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6713 BROADWAY ST STE H",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815768",
            "telephone_number": "713-995-6266",
            "fax_number": "888-326-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL TEXAS HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-06",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "ELZEND",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_title_or_position": "PRESIDENT &M",
        "authorized_official_telephone_number": "888-225-6905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MBA&M"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revival Texas Home Health, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.