Revival Health Care

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

REVIVAL HEALTH CARE

Practice address

229 Hebron St
Hyde Park, MA 02136-6201

Phone

(857) 260-7441

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Egbe Benedicta Adekunle-MosesNPI 1851759302

Title

Ceo

Phone

(857) 260-7441

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Egbe Benedicta Adekunle-Moses I

  • Licensed Practical Nurse
  • Hyde Park, MA
  • NPI 1851759302
  NPD Authorized official

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1447093786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 HEBRON ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021366201",
            "telephone_number": "857-260-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 HEBRON ST",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021366201",
            "telephone_number": "857-260-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "ADEKUNLE-MOSES",
        "authorized_official_first_name": "EGBE",
        "authorized_official_middle_name": "BENEDICTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-260-7441"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Ryan Realuyo Relator
• Kimberly Remondi
• Peter Rempelakis, LICSW
• G Remy
• Resiliency and Optimism Changes Lives (R.O.C.) Therapeutic Coaching SE
• Victoria Rita Ricciardi
• Katia Richard, RN
• Chevaun Richards
• Haley Rivera
• Limari Beatriz Rivera, MSW

• Nursing Care Agency in Hyde Park, MA
• Providers in Hyde Park, MA by specialty
• Nursing Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.