Organization Active NPI

Health Care Revolution LLC

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1902572506
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTH CARE REVOLUTION LLC
Practice address
1028 N Holland Sylvania Rd
Toledo, OH 43615-4514
Phone
(419) 297-9053
Fax
(330) 946-3641
NPI assigned
Aug 23, 2021
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Jude AsahNPI 1427668581
Title
Ceo
Phone
(419) 470-9860

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

1028 N Holland Sylvania Rd
Toledo, OH 43615-4514

Mailing address

3930 Grandview CT
Toledo, OH 43614-3338
Phone (419) 470-9860

Other practice location 1

1036 N Holland Sylvania Rd
Toledo, OH 43615-4514
Phone (419) 297-9053

Other identifiers 1

IdentifierTypeStateIssuer
0423162OtherOHPASSPORTMEDICAID

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://hcrevllc.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250402003273 OH Part A Provider - Home Health Agency 7416470141 Practice locations: Toledo, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902572506. Details of each certification follow.

Home health agency certification: CCN 369435

Legal name
HEALTH CARE REVOLUTION LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 23, 2026
Last certification
Jan 8, 2026
Organization structure
LLCProprietary
Enrollment address
1028 N Holland Sylvania Rd
Toledo, OH 43615-4514

National Provider Directory

National Provider Directory

Locations

1028 N Holland Sylvania Rd
Toledo, OH 43615
Phone (419) 297-9053

1036 N Holland Sylvania Rd
Toledo, OH 43615
Phone (419) 297-9053

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
Jude Asah Individual 5% Or Greater Direct Ownership InterestAdministrator Aug 4, 2020 100%
Sybil Davis Individual Operational/Managerial ControlCompliance Officer/ Biller Mar 16, 2022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1902572506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 GRANDVIEW CT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143338",
            "telephone_number": "419-470-9860",
            "fax_number": "330-946-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 N HOLLAND SYLVANIA RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154514",
            "telephone_number": "419-297-9053",
            "fax_number": "330-946-3641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 N Holland Sylvania Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436154514",
            "country_code": "US",
            "telephone_number": "419-297-9053",
            "fax_number": "330-368-6876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH CARE REVOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "ASAH",
        "authorized_official_first_name": "JUDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-470-9860"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORTMEDICAID",
            "identifier": "0423162",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hcrevllc.com/",
            "affiliation": "N",
            "address_1": "1036 N Holland Sylvania Rd",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436154514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.