Revival Therapy

LBN: Aldis Therapy Services
Revival Therapy is an health care organization with primary practice located at 2470 Saint Rose Pkwy Ste 302 , Henderson NV 89074-7776. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Aldis Therapy Services can be contacted via phone (702) 401-1345, or through Aldis, Danny via phone (702) 401-1345.

Contact Information

Primary practice address
2470 Saint Rose Pkwy Ste 302 Henderson NV 89074-7776
Phone: (702) 401-1345
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Aldis, Danny Occupational Therapist (OT)
Phone: (702) 401-1345

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1093361032
LBN Legal business name Aldis Therapy Services
DBA Doing business as Revival Therapy
Authorized official Aldis, Danny Occupational Therapist (OT)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2019
Last updated Feb 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093361032 NPPES
Nevada MEDICAID 1740832617

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