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

Revival Health Home Care LLC

Organization Home Health Agency · NPI 1821826207

Revival Health Home Care LLC is a Home Health Agency in Lansing, Michigan. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
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

1129 Glenn St
Lansing, MI 48915-2115
Phone: (347) 605-0410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 E Roosevelt St, Phoenix, AZ 85004 — (347) 605-0410

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Home Health Agency Taxonomy 251E00000X
Supports Brokerage Agency Taxonomy 251X00000X

Record details

NPI number1821826207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bolivar Altamirano — Mr. · (347) 605-0410
NPI enumeratedJuly 25, 2024
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address2-06 Astoria Blvd, 2e, Astoria, NY 11102

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