Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revival Adult Family Home LLC

Organization Adult Care Home Facility · NPI 1578350104

Revival Adult Family Home LLC is an Adult Care Home Facility in Kennewick, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

207 W 31st Ave
Kennewick, WA 99337-5023
Phone: (509) 508-6833
Fax: (509) 987-1755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X

Record details

NPI number1578350104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Mushira — Afh Provider · (509) 508-6833
NPI enumeratedApril 25, 2025
Last updated in NPPESApril 25, 2025
Certification dateApril 24, 2025
Mailing address207 W 31st Ave, Kennewick, WA 99337-5023

Other providers in Kennewick