DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: REVOLUTIONARY HOME HEALTH INC

MEDICARE: REVOLUTIONARY HOME HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency17641601PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639566557
Entity Type Code : Organization
Provider Name (Legal Business Name) : REVOLUTIONARY HOME HEALTH INC
Provider Business Mailing Address
First Line : 829 SCRANTON CARBONDALE HWY
Second Line :
City : EYNON
State : PA
Zip : 18403-1020
Country : US
Telephone Number : 570-383-7502
Fax Number : 866-600-7413
Provider Business Practice Location Address
First Line : 829 SCRANTON CARBONDALE HWY
Second Line :
City : EYNON
State : PA
Zip : 18403-1020
Country : US
Telephone Number : 570-383-7502
Fax Number : 866-600-7413
Authorized Official
Title or Position : ADMINISTRATOR
Name : DR. KATHLEEN EVANINA
Credential : CRNP
Telephone Number : 570-383-7502
Provider Enumeration Date : 04/17/2015
Last Update Date : 07/21/2020

Similar Medicare Providers

1457359747 — REVOLUTIONARY HOME HEALTH, INC.
Practice Location Address:
829 SCRANTON CARBONDALE HWY
EYNON, PA
18403-1020
Practice Phone: 570-383-7502
Practice Fax: 570-534-4225
1427024710 — KATHLEEN EVANINA NP
Practice Location Address:
829 SCRANTON CARBONDALE HWY
EYNON, PA
18403-1020
Practice Phone: 570-383-0825
Practice Fax:
1558628131 — MISS MARIA TARAMELLI RD LDN
Practice Location Address:
801 SCRANTON CARBONDALE HWY
EYNON, PA
18403-1020
Practice Phone: 570-876-1200
Practice Fax: 570-876-1288
1841603164 — BRITTANY YERKES
Practice Location Address:
829 SCRANTON CARBONDALE HWY
EYNON, PA
18403-1020
Practice Phone: 570-383-0825
Practice Fax:
1215459748 — CAITLIN HUNTER
Practice Location Address:
829 SCRANTON CARBONDALE HWY
EYNON, PA
18403-1020
Practice Phone: 570-383-7502
Practice Fax:
1578125944 — REVOLUTIONARY HOME HEALTH, INC.
Practice Location Address:
829 SCRANTON CARBONDALE HWY
EYNON, PA
18403-1020
Practice Phone: 570-383-7502
Practice Fax: 866-600-7413

Directions to “REVOLUTIONARY HOME HEALTH INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.