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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: August 30, 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
Phone(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
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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 Health Agency LLC's NPI number?

The NPI number for Revitalize Home Health Agency LLC is 1336949924. It was assigned to this organization in the NPPES registry on March 14, 2025.

Where is Revitalize Home Health Agency LLC located?

Revitalize Home Health Agency LLC is located at 1245 W 6th St Ste 205, Corona, CA 92882. The listed phone number is (951) 956-5101.

What is Revitalize Home Health Agency LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Revitalize Home Health Agency LLC was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.