Revive Recovery Llc

LBN: Revive Recovery Llc
Revive Recovery Llc is an health care organization with primary practice located at 3541 Bonita Bay Blvd Ste 200 , Bonita Springs FL 34134-1703. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Revive Recovery Llc can be contacted via phone (239) 908-9958, or through Thomas, Christina via phone (239) 908-9958.

Contact Information

Primary practice address
3541 Bonita Bay Blvd Ste 200 Bonita Springs FL 34134-1703
Phone: (239) 908-9958
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Christina
Phone: (239) 908-9958

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1215522263
LBN Legal business name Revive Recovery Llc
DBA Doing business as
Authorized official Thomas, Christina
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2021
Last updated Mar 2nd, 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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