Revival Home Health Care, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

REVIVAL HOME HEALTH CARE, LLC.

Practice address

24681 Northwestern Hwy.
Suite 404
Southfield, MI 48075-2321

Phone

(248) 799-3380

Fax

(248) 799-0671

NPI assigned

Aug 27, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Tahir Sharif

Title

Ceo/Owner

Phone

(248) 799-3380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Home health agency certification: CCN 239291

Legal name

REVIVAL HOME HEALTH CARE, LLC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 28, 2013

Last certification

Mar 22, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

32969 Hamilton CT
Ste 138-C
Farmington Hills, MI 48334-3351

Listed as

Revival Home Health Care, L L CCCN 239291

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Feb 28, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jesse Almonte Castillano, M.D.

  • General Practice Physician
  • Shelby Township, MI
  • NPI 1982867420

  Home health agency

  Care Compare affiliation
• Ambujam R Krishnan, MD

  • Hematology & Oncology Physician
  • Livonia, MI
  • NPI 1548231749

  Home health agency

  Care Compare affiliation
• Angela Lynn Roman, APRN, BC, FNP

  • Family Nurse Practitioner
  • Detroit, MI
  • NPI 1235196023

  Home health agency

  Care Compare affiliation
• Victor Savinov, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Ypsilanti, MI
  • NPI 1437300845

  Home health agency

  Care Compare affiliation
• Steven H Schechter, MD

  • Neurology Physician
  • West Bloomfield, MI
  • NPI 1902897390

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1649586702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24681 NORTHWESTERN HWY.",
            "address_2": "SUITE 404",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752321",
            "telephone_number": "248-799-3380",
            "fax_number": "248-799-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24681 NORTHWESTERN HWY.",
            "address_2": "SUITE 404",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752321",
            "telephone_number": "248-799-3380",
            "fax_number": "248-799-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL HOME HEALTH CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "TAHIR",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "248-799-3380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorative Counseling Therapeutic Services
• Restore Healing Hands LLC
• Heidi Ret, LMSW
• Ryan Reveley, PT, DPT
• Vivienne Reviere
• Revive Restore Consulting Homecare
• Alexandria L Rew
• Reynolds Quality Transportation
• Sydney Reynoso
• Brenda Nahiely Reza

• Home Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.