REVITALIZE HOME HEALTH AGENCY LLC
NPI 1336949924
Home Health in Corona, CA

Active since March 14, 2025
1245 W 6TH ST STE 205, CORONA, CA 92882(951) 956-5101 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2025, Mar 14, 2025 (2 updates tracked since 2025).

About Revitalize Home Health Agency Llc NPPES

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

REVITALIZE HOME HEALTH AGENCY LLC (NPI 1336949924) is a healthcare organization registered as a home health in Corona, California and active in the NPI registry since March 2025. The organization lists Mohammed Amer, President, as its authorized official.

NPPES Registry Identity

NPI1336949924
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameREVITALIZE HOME HEALTH AGENCY LLC
Location Address1245 W 6TH ST STE 205Corona, CA 92882-1870
Mailing Address1245 W 6th St Ste 205Corona, CA 92882-1870 · (951) 956-5101
Organization SubpartNo
Authorized OfficialMohammed AmerPresident · (951) 956-5101
Enumeration DateMarch 14, 2025
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1336949924 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.

1245 W 6TH ST STE 205, Corona, CA 92882

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336949924, enumerated as an "organization" on March 14, 2025.

The provider is located at 1245 W 6TH ST STE 205 CORONA, CA 92882 and the phone number is (951) 956-5101.

Home Health with taxonomy code 251E00000X.