Revital Care Hospice, Inc.

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

Legal business name

REVITAL CARE HOSPICE, INC.

Practice address

711 N Alvarado St Ste 108
Los Angeles, CA 90026-4016

Phone

(213) 484-8254

Fax

(213) 484-8265

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard Tan Chu

Title

Ceo

Phone

(213) 484-8254

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1598774754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N ALVARADO ST STE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264016",
            "telephone_number": "213-484-8254",
            "fax_number": "213-484-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N ALVARADO ST STE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264016",
            "telephone_number": "213-484-8254",
            "fax_number": "213-484-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITAL CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-484-8254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Alejandra Revelo
• Sha'Shonda La'Trell Revels, MD
• Linda J. Rever, M.D.
• Domingo Reveron
• Maria Isabel Abata Revil, NP
• Revival Health Medical Group
• Revival Health Medical Group PA
• Revive Detox
• Revive Health. Inc
• Revive Medical Supplies

• Inpatient Hospice in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Inpatient Hospice in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.