Healthcare Provider Details

I. General information

NPI: 1881519130
Provider Name (Legal Business Name): REVION HEALTH GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5724 GREEN ST FL 2 SUITE 242
BROWNSBURG IN
46112-1471
US

IV. Provider business mailing address

5724 GREEN ST FL 2
BROWNSBURG IN
46112-1471
US

V. Phone/Fax

Practice location:
  • Phone: 317-460-4423
  • Fax: 317-947-0665
Mailing address:
  • Phone: 317-460-4423
  • Fax: 317-947-0665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. OLATUNDE MONSUR SADIK
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN, BSN
Phone: 317-460-4423