Active NPI
Revolution Access LLC
Doing business as Reliable Medical Supply
- Durable Medical Equipment & Medical Supplies
- Asheville, NC
National Provider Identifier
1558919969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- REVOLUTION ACCESS LLC
- Doing business as
- Reliable Medical Supply
- Practice address
- 85 Shiloh Road
Unit 50
Asheville, NC 28803 - Phone
- (828) 417-3285
- Fax
- (828) 417-3289
- NPI assigned
- Aug 28, 2019
- Last updated
- Jun 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiley Ann Russell
- Title
- Senior Director
- Phone
- (629) 252-8211
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Contractor | 171W00000X | |||
| Home Modifications Contractor | 171WH0202X | |||
| Vehicle Modifications Contractor | 171WV0202X |
Addresses
Primary practice location
85 Shiloh Road
Unit 50
Asheville, NC 28803
Mailing address
9495 Winnetka Ave N Ste 200
Brooklyn Park, MN 55445-1618
Phone (629) 252-8211
Other names 1
- Reliable Medical Supply
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230814001410 | NC | DME Supplier - Medical Supply Company | 3274924394 | Practice locations: Asheville, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Revolution Access LLC | Patient Lifts|Power Operated Vehicles (Scooters)|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchairs (Complex Rehabilitative Manual)|Wheelchairs (Complex Rehab Manual Rel Accessorie… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Reliable Medical Supply
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Reliable Medical Supply
- Durable Medical Equipment & Medical Supplies
- Charlotte, NC
- NPI 1215868351
-
dba Reliable Medical Supply
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
- NPI 1427989565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780531200000",
"number": "1558919969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9495 WINNETKA AVE N STE 200",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554451618",
"telephone_number": "629-252-8211",
"fax_number": "763-255-3972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SHILOH ROAD",
"address_2": "UNIT 50",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "28803",
"telephone_number": "828-417-3285",
"fax_number": "828-417-3289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVOLUTION ACCESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-28",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "KILEY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SENIOR DIRECTOR",
"authorized_official_telephone_number": "629-252-8211"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": false
},
{
"code": "171WV0202X",
"taxonomy_group": "",
"desc": "Contractor, Vehicle Modifications",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Reliable Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.