Healthcare Provider Details

I. General information

NPI: 1164331807
Provider Name (Legal Business Name): REVYNT MEDICAL BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 HOMESTEAD AVE UNIT 204
GREENWOOD IN
46143-1545
US

IV. Provider business mailing address

345 HOMESTEAD AVE UNIT 204
GREENWOOD IN
46143-1545
US

V. Phone/Fax

Practice location:
  • Phone: 717-268-9132
  • Fax: 717-268-9132
Mailing address:
  • Phone: 717-268-9132
  • Fax: 717-268-9132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: NO NAME JAIDEEP
Title or Position: OWNER
Credential:
Phone: 717-268-9132