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

Sanguine Revere LLC

Organization Home Health Agency · NPI 1295568178

Sanguine Revere LLC is a Home Health Agency in Riverdale, Georgia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
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

7460 Ambassador Dr
Riverdale, GA 30296-1928
Phone: (404) 610-7689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Assisted Living Facility Taxonomy 310400000X
Adult Care Home Facility Taxonomy 311ZA0620X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1295568178
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khallis Joyner — Owner · (404) 610-7689
NPI enumeratedAugust 26, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 25, 2024
Mailing address7460 Ambassador Dr, Riverdale, GA 30296-1928

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