NPIMap

Organization Active NPI

Gamzel Ny, Inc

Doing business as Revival Home Health Care

  • Home Health Agency
  • Staten Island, NY
National Provider Identifier
1841233178
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7001635 Issued in NY
Legal business name
GAMZEL NY, INC
Doing business as
Revival Home Health Care
Practice address
75 Vanderbilt Ave FL 3
Staten Island, NY 10304-2604
Phone
(718) 629-1000
Fax
(718) 629-1200
NPI assigned
Jun 14, 2006
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Sion Daneshrad
Title
Administrator
Phone
(718) 629-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7001635 NY Primary

Addresses

Primary practice location

75 Vanderbilt Ave FL 3
Staten Island, NY 10304-2604

Mailing address

75 Vanderbilt Ave FL 3
Staten Island, NY 10304-2604
Phone (718) 629-1000

Other identifiers 1

IdentifierTypeStateIssuer
01544449MedicaidNY

Other names 1

  • Revival Home Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060406000284 NY Part A Provider - Home Health Agency 3072522812 Practice locations: Staten Island, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841233178. Details of each certification follow.

Home health agency certification: CCN 337299

Legal name
GAMZEL NY, INC
Doing business as
REVIVAL HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 22, 1994
Last certification
Oct 9, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 1, 2006 in NY
Enrollment address
75 Vanderbilt Ave
FL 3
Staten Island, NY 10304-2604
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Revival Home Health CareCCN 337299 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Dec 22, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

5350 Kings Hwy
Brooklyn, NY 11203
Phone (718) 629-1000

75 Vanderbilt Ave
#3
Staten Island, NY 10304
Phone (718) 354-5943

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sion Daneshrad Individual Corporate Officer Aug 28, 2020
W-2 Managing EmployeeAdministrator Aug 29, 2020
Kenneth Rozenberg Individual 5% Or Greater Direct Ownership InterestMember Oct 1, 2018 100%
Corporate OfficerMember Oct 1, 2018 100%
Operational/Managerial ControlMember Oct 1, 2018 100%

Practitioners & affiliated clinicians

Affiliated clinicians 373

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 373

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1841233178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VANDERBILT AVE FL 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042604",
            "telephone_number": "718-629-1000",
            "fax_number": "347-602-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VANDERBILT AVE FL 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042604",
            "telephone_number": "718-629-1000",
            "fax_number": "718-629-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMZEL NY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "DANESHRAD",
        "authorized_official_first_name": "SION",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-629-1000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "7001635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01544449",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revival Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revival Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.