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REVITALIZE HOME HEALTHCARE LLC
NPI 1124820550
Home Health in Orlando, FL

Active since March 26, 2025CLIA 10D2339542 · Waiver
4700 MILLENIA BLVD STE 500, ORLANDO, FL 32839(877) 407-3848 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2026, Apr 11, 2025, Mar 26, 2025 (3 updates tracked since 2025).

About Revitalize Home Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVITALIZE HOME HEALTHCARE LLC (NPI 1124820550) is a healthcare organization registered as a home health in Orlando, Florida and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Corey Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1124820550
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameREVITALIZE HOME HEALTHCARE LLC
Location Address4700 MILLENIA BLVD STE 500Orlando, FL 32839-6019
Mailing Address4700 Millenia Blvd Ste 500Orlando, FL 32839-6019 · (877) 407-3848
Phone(877) 407-3848
Organization SubpartNo
Authorized OfficialCorey JohnsonOwner · (205) 529-5896
Enumeration DateMarch 26, 2025
Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1124820550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
4700 MILLENIA BLVD STE 500, Orlando, FL 32839
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2339542

Revitalize Home Healthcare LLC · Orlando, FL
Active · expires Mar 3, 2028
CLIA Number10D2339542
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorBelinda Johnson
Laboratory Phone(205) 529-5896
Laboratory LocationRevitalize Home Healthcare LLC4700 Millenia Blvd Suite 500, Orlando, FL 32839
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS WILSON PSYCHOTHERAPY, LLC
Social Worker (Clinical)
4700 MILLENIA BLVD STE 500
ORLANDO, FL 32839
Orange County (970) 930-1264
DR. TAMARA VELAZQUEZ PSY.D.
Psychologist (Clinical)
4700 MILLENIA BLVD STE 500
ORLANDO, FL 32839
Orange County (813) 467-6111
THRIVE BEHAVIORAL SCIENCES ORLANDO LLC
Psychiatry & Neurology (Geriatric Psychiatry)
4700 MILLENIA BLVD STE 500
ORLANDO, FL 32839
Orange County (813) 467-6111
KAY ALLEN LMHC LCPC LPCC
Counselor (Mental Health)
4700 MILLENIA BLVD STE 500
ORLANDO, FL 32839
Orange County (407) 704-3381
CENTRAL FLORIDA MENTAL HEALTH SERVICES LLC
Community/Behavioral Health
4700 MILLENIA BLVD STE 500
ORLANDO, FL 32839
Orange County (787) 464-2592
GREENEHOUSE OT LLC
Occupational Therapist
4700 MILLENIA BLVD STE 500
ORLANDO, FL 32839
Orange County (407) 785-5972
ALEXANDRA L LOPEZ RIVERA MC-MFCT
Counselor
4700 MILLENIA BLVD STE 500
ORLANDO, FL 32839
Orange County (404) 697-3266
COQUINA COVE HOME HEALTH LLC
Home Health
4700 MILLENIA BLVD STE 500
ORLANDO, FL 32839
Orange County (240) 550-2211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revitalize Home Healthcare LLC's NPI number?

The NPI number for Revitalize Home Healthcare LLC is 1124820550. It was assigned to this organization in the NPPES registry on March 26, 2025.

Where is Revitalize Home Healthcare LLC located?

Revitalize Home Healthcare LLC is located at 4700 Millenia Blvd Ste 500, Orlando, FL 32839. The listed phone number is (877) 407-3848.

What is Revitalize Home Healthcare LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Revitalize Home Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2339542) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Revitalize Home Healthcare LLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.