Revive Home Infusion Therapy Llc

LBN: Revive Home Infusion Therapy Llc
Revive Home Infusion Therapy Llc is an health care organization with primary practice located at 354 W Fairbanks Ave , Winter Park FL 32789-5093. The organization recently has only one registered license in Agencies / Home Infusion, which is considered as the primary health care specialty. Revive Home Infusion Therapy Llc can be contacted via phone (321) 972-4243, or through Heretsun-Roussonicolos, Liliya via phone (772) 207-6266.

Contact Information

Primary practice address
354 W Fairbanks Ave Winter Park FL 32789-5093
Phone: (321) 972-4243
Fax: (321) 972-4214
Website:
Map and Directions
Authorized official contact:
Name: Heretsun-Roussonicolos, Liliya
Phone: (772) 207-6266

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X

Profile Details

NPI number 1265012132
LBN Legal business name Revive Home Infusion Therapy Llc
DBA Doing business as
Authorized official Heretsun-Roussonicolos, Liliya
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2021
Last updated Apr 13th, 2021 - about 3 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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