Revival Health Care Services ,Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

REVIVAL HEALTH CARE SERVICES ,INC

Practice address

5952 Crestview Dr
Grand Prairie, TX 75052-8513

Phone

(817) 845-3181

Fax

(817) 608-0505

NPI assigned

Aug 27, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Olukemi Sobo

Title

Manager/Director

Phone

(817) 845-3181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1649427030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5952 CRESTVIEW DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528513",
            "telephone_number": "817-845-3181",
            "fax_number": "817-608-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5952 CRESTVIEW DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528513",
            "telephone_number": "817-845-3181",
            "fax_number": "817-608-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL HEALTH CARE SERVICES ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "SOBO",
        "authorized_official_first_name": "OLUKEMI",
        "authorized_official_title_or_position": "MANAGER/DIRECTOR",
        "authorized_official_telephone_number": "817-845-3181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.