Revelation House Calls Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

REVELATION HOUSE CALLS INC

Practice address

25 Shorehaven LN
Hickory Creek, TX 75065-2938

Phone

(146) 968-8980

NPI assigned

Nov 1, 2017

Last updated

Mar 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Hansen Nemat, CEO

Title

President

Phone

(469) 688-9800

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1871005736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 W HEBRON PKWY STE 138",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106311",
            "telephone_number": "469-688-9800",
            "fax_number": "972-920-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SHOREHAVEN LN",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "750652938",
            "telephone_number": "146-968-8980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 W Hebron Pkwy Ste 135",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750106335",
            "country_code": "US",
            "telephone_number": "469-688-9800",
            "fax_number": "972-920-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVELATION HOUSE CALLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2021-03-15",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "NEMAT",
        "authorized_official_first_name": "HANSEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-688-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orchid Counseling PLLC
• Jigesha Jaldip Patel
• Thuan N Pham, D.D.S
• Akorede Abraham Quadri
• Rediclinic US, LLC (Rediclinic)
• Rightnow Living
• Rebekah Shaulis, MA, LLPC
• Jonathan Silva
• Smileeasy Dental Hickory Creek, PLLC
• Rachael Jeannine Song, RN

• Geriatric Medicine (Family Medicine) Physician in Hickory Creek, TX
• Providers in Hickory Creek, TX by specialty
• Geriatric Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.