REVOLUTIONARY CARE LLC
NPI 1033838941
Clinic/Center in Washington, DC

Active since August 24, 2022
106 IRVING ST NW STE 3000, WASHINGTON, DC 20010(240) 421-3602 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About REVOLUTIONARY CARE LLC

This page provides the complete NPI Profile along with additional information for Revolutionary Care Llc, a provider established in Washington, District Of Columbia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1033838941 assigned on August 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Titilayo Orimogunje (President)

NPI
1033838941 Verify this NPI
Provider Name
REVOLUTIONARY CARE LLC
Entity Type
Organization
Location Address
106 IRVING ST NW STE 3000 WASHINGTON, DC 20010
Location Phone
(240) 421-3602
Mailing Address
14311 DRIFTWOOD RD BOWIE, MD 20721
Mailing Phone
(240) 421-3602
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2022
Last Update Date
08-24-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TITILAYO ORIMOGUNJE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(240) 421-3602

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033838941, enumerated as an "organization" on August 24, 2022.

The provider is located at 106 IRVING ST NW STE 3000 WASHINGTON, DC 20010 and the phone number is (240) 421-3602.

Clinic/Center with taxonomy code 261Q00000X.