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Revere Home Care

In Home Supportive Care Agency in Issaquah, WA · enumerated 2026 · authorized official Wyatt Roderick, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841158581

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Registry record

Entity type Organization (Type 2)
Legal business name Revere Home Care
Practice address 160 Nw Gilman Blvd Ste 310, Issaquah, WA, 98027
Fax (833) 239-7087
Enumeration date Jan 12, 2026
Last updated in NPPES Jan 12, 2026

Taxonomy & classification

253Z00000X In Home Supportive Care Agency Agencies Primary

Authorized official

Name Wyatt Roderick
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-12. Verify at npiregistry.cms.hhs.gov.
Where is Revere Home Care located?
The practice location on file with NPPES is in Issaquah, WA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-12.