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

Revival Home Care

Organization Assisted Living Facility (Behavioral Disturbances) · NPI 1336498906

Revival Home Care is an Assisted Living Facility (Behavioral Disturbances) in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012

Practice location Address checks out

8269 W State Ave
Glendale, AZ 85303
Phone: (602) 334-4187
Fax: (602) 334-4187
Show map & directions

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

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X · Licence AL8758H (AZ)

Record details

NPI number1336498906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fidelite Kankindi — Caregiver · (623) 297-1305
NPI enumeratedAugust 29, 2012
Last updated in NPPESAugust 29, 2012
Mailing address8269 W State Ave, Glendale, AZ 85303

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