Organization Active NPI

Revived Hands LLC

  • Home Health Agency
  • Mesquite, TX
National Provider Identifier
1750139655
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REVIVED HANDS LLC
Practice address
2220 Gus Thomasson Rd BLDG B
Mesquite, TX 75150-5367
Phone
(469) 928-9141
NPI assigned
May 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Chinecherem G Egbudiwe, RNNPI 1316791130
Title
Registered Nurse
Phone
(214) 874-8804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

2220 Gus Thomasson Rd BLDG B
Mesquite, TX 75150-5367

Mailing address

2220 Gus Thomasson Rd BLDG B
Mesquite, TX 75150-5367
Phone (469) 928-9141

Other names 1

  • Revived Hands LLC Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2316239Revived Hands LLC2220 Gus Thomasson Rd, Building B Suite E, Mesquite, TX 75150Certificate of waiverDec 30, 2026

National Provider Directory

National Provider Directory

Locations

2220 Gus Thomasson Rd
Bldg B
Mesquite, TX 75150
Phone (469) 928-9141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1750139655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 GUS THOMASSON RD BLDG B",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505367",
            "telephone_number": "469-928-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 GUS THOMASSON RD BLDG B",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505367",
            "telephone_number": "469-928-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVED HANDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "EGBUDIWE",
        "authorized_official_first_name": "CHINECHEREM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "214-874-8804",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revived Hands LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Revived Hands LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.