Revitalife Home Healthcare Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

REVITALIFE HOME HEALTHCARE SERVICES, LLC

Practice address

9898 Bissonnet St Ste 320
Houston, TX 77036-8051

Phone

(832) 460-8707

Fax

(844) 269-6770

NPI assigned

Feb 19, 2016

Organization subpart

No

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

Authorized official

Name

Ibania Valencia

Title

Administrator

Phone

(832) 460-8707

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1831558717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET ST STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368051",
            "telephone_number": "832-460-8707",
            "fax_number": "844-269-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET ST STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368051",
            "telephone_number": "832-460-8707",
            "fax_number": "844-269-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIFE HOME HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "IBANIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-460-8707"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Revive F W

• In Home Supportive Care Agency in Houston, TX
• Providers in Houston, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.