Revitalized Llc

LBN: Revitalized Llc
Revitalized Llc is an health care organization with primary practice located at 231 Old Tower Hill Rd Ste 202 , Wakefield RI 02879-3708. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion. Agencies / Home Infusion is the primary health care specialty. Revitalized Llc can be contacted via phone (401) 773-9994, or through Farrelly, Nathanael via phone (401) 773-9994.

Contact Information

Primary practice address
231 Old Tower Hill Rd Ste 202 Wakefield RI 02879-3708
Phone: (401) 773-9994
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farrelly, Nathanael
Phone: (401) 773-9994

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Home Infusion 251F00000X

Profile Details

NPI number 1740981877
LBN Legal business name Revitalized Llc
DBA Doing business as
Authorized official Farrelly, Nathanael
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2023
Last updated Mar 15th, 2023 - about last year

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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