NPI 1093066045

Revita Healthcare, LLC

Organisation Home Health Agency Schaumburg, IL

Practice location

Address: 120 W Golf Rd STE 210, Schaumburg, IL 60195-5161
Phone: (847) 380-6253
Fax: (847) 947-2786

Authorised official

Name: Consuelo Lagasca Dumayas
Title: Administrator
Phone: (847) 380-6253

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 1011579 (IL)

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Registry record

NPI: 1093066045
Entity type: Organization
NPI issued: 29 Sep 2012
Record last updated: 29 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.