Revive Home Care Inc.

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

REVIVE HOME CARE INC.

Practice address

1852 Dale Douglas Dr Ste B
El Paso, TX 79936-4251

Phone

(915) 772-1300

NPI assigned

Apr 26, 2024

Organization subpart

Yes

Parent organization

REVIVE HOME CARE INCAs reported in NPPES

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

Authorized official

Name

Jay Dirkx

Title

Owner

Phone

(915) 772-1300

Specialties & licenses 2

Addresses

Tax ID family

Revive Home Care Inc2 organizations share this tax ID, including this one

Part of

Revive Home Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Revive Home Care Inc.

  • Home Health Agency
  • El Paso, TX
  • NPI 1487735346
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Revive Home Care Inc.

  • Home Health Agency
  • El Paso, TX
  • NPI 1487735346
  NPPES parent name

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1689420994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 DALE DOUGLAS DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364251",
            "telephone_number": "915-772-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 DALE DOUGLAS DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364251",
            "telephone_number": "915-772-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE HOME CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REVIVE HOME CARE INC",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "DIRKX",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-772-1300"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Anne Reveles, P.N.P.
• Stephanie Reveles
• Rodolfo Manuel Revilla
• Revive Global PLLC
• Revive Home Care Inc.
• Revive Medical, PLLC
• Kathryn L Revtyak, LCSW
• Beatriz Rey Garcia
• Briana Lauren Rey Kolstad, PC PNP
• Alyssa Michelle Rey

• Home Health Aide in El Paso, TX
• Providers in El Paso, TX by specialty
• Home Health Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.