Healthcare Provider Details

I. General information

NPI: 1902572506
Provider Name (Legal Business Name): HEALTH CARE REVOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1028 N HOLLAND SYLVANIA RD
TOLEDO OH
43615-4514
US

IV. Provider business mailing address

3930 GRANDVIEW CT
TOLEDO OH
43614-3338
US

V. Phone/Fax

Practice location:
  • Phone: 419-297-9053
  • Fax: 330-946-3641
Mailing address:
  • Phone: 419-470-9860
  • Fax: 330-946-3641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JUDE ASAH
Title or Position: CEO
Credential:
Phone: 419-470-9860