Revival Homecare Agency

LBN: Revival Home Health Care Agency Inc
Revival Homecare Agency is an health care organization with primary practice located at 5101C Backlick Rd Ste 2, Annandale VA 22003-6061. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Revival Home Health Care Agency Inc can be contacted via phone (888) 225-6905, or through Elzend, Akram via phone (888) 225-6905.

Contact Information

Primary practice address
5101C Backlick Rd Ste 2 Annandale VA 22003-6061
Phone: (888) 225-6905
Fax: (888) 801-4714
Website:
Map and Directions
Authorized official contact:
Name: Elzend, Akram PT, DPT, MBA&M
Phone: (888) 225-6905

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HCO08450 Virginia

Profile Details

NPI number 1659577724
LBN Legal business name Revival Home Health Care Agency Inc
DBA Doing business as Revival Homecare Agency
Authorized official Elzend, Akram PT, DPT, MBA&M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2007
Last updated Dec 29th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659577724 NPPES
Virginia MEDICAID 1659577724

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