Revive Care Solutions LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

REVIVE CARE SOLUTIONS LLC

Practice address

8629 Stone Hill LN
Laurel, MD 20724-2495

Phone

(240) 581-0751

NPI assigned

Apr 15, 2021

Organization subpart

No

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

Authorized official

Name

Titus Oluwalade

Title

Ceo

Phone

(443) 310-9779

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1669053344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8629 STONE HILL LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8629 STONE HILL LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242495",
            "telephone_number": "240-581-0751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Pennsylvania Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20004",
            "country_code": "US",
            "telephone_number": "240-581-0751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVIVE CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "OLUWALADE",
        "authorized_official_first_name": "TITUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-310-9779"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.