REVELLA HEALTH INC; NPI #1639996192

Contact Information

REVELLA HEALTH INC

1 PERIMETER PARK S STE 100N
BIRMINGHAM, AL 35243-3248

Phone: 205-929-7451
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Dietitian, Registered	133V00000X	71	Registered Dietitian or Nutrition Professional
Family Medicine	207Q00000X	08	Physician/Family Practice
Health Service	261QH0100X
In Home Supportive Care	253Z00000X
Infusion Therapy	261QI0500X
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Medical Specialty	261QM2500X
Multi-Specialty	261QM1300X	70	Clinic or Group Practice
Nursing Care	251J00000X
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist
Point of Service	305S00000X
Primary Care	261QP2300X
Recovery Care	261QR0800X
Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for REVELLA HEALTH INC

NPI Number	`1639996192`
LBN Legal business name	REVELLA HEALTH INC
Authorized official	DANIEL YEBOAH - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/25/2024
Last updated	10/14/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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REVELLA HEALTH INC

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NPI Profile & details for REVELLA HEALTH INC

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