Revel Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

REVEL HOME CARE SERVICES LLC

Practice address

7362 University Ave NE Ste 310
Fridley, MN 55432-3150

Phone

(612) 859-4594

NPI assigned

May 13, 2025

Organization subpart

No

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

Authorized official

Name

Ilyas J Ahmed

Title

Owner

Phone

(612) 859-4594

Specialties & licenses 1

Addresses

Other names 1

• REVEL HOME CARE SERVICES LLC Other name

Locations

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1720879489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 310",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323150",
            "telephone_number": "612-859-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 310",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323150",
            "telephone_number": "612-859-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEL HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ILYAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-859-4594"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REVEL HOME CARE SERVICES LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "REVEL HOME CARE SERVICES LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.