Revamp Rehab, Llc

LBN: Revamp Rehab, Llc
Revamp Rehab, Llc is an health care organization with primary practice located at 2131 Sw 22Nd Pl Ste 100 , Ocala FL 34471-7759. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Revamp Rehab, Llc can be contacted via phone (352) 620-5211, or through Ajufo, Ekene via phone (352) 620-5211.

Contact Information

Primary practice address
2131 Sw 22Nd Pl Ste 100 Ocala FL 34471-7759
Phone: (352) 620-5211
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ajufo, Ekene Doctor of Medicine (MD)
Phone: (352) 620-5211

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1275318495
LBN Legal business name Revamp Rehab, Llc
DBA Doing business as
Authorized official Ajufo, Ekene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2023
Last updated Apr 13th, 2024 - about 8 months 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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