REVOLUTIONARY NURSES NPI 1366725673

NPI Details

REVOLUTIONARY NURSES is a home health in Olyphant, PA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. REVOLUTIONARY NURSES NPI is 1366725673. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Revolutionary Homecare.

The provider's business location address is:

1619 MAIN ST
OLYPHANT, PA
ZIP 18447-335
Phone: (570) 383-0825

The provider's authorized official is Kathleen Evanina .
The authorized official title is Administrator and has the following contact phone number (570) 383-0825.

The CLIA number assigned to this NPI record is 39D1076406 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2011 and was last updated on 9/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: