Revive Rehab Services Llc

LBN: Revive Rehab Services Llc
Revive Rehab Services Llc is an health care organization with primary practice located at 623 W Union Blvd Ste 1B , Bethlehem PA 18018-3708. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Revive Rehab Services Llc can be contacted via phone (484) 891-0608, or through Jasim, Muhammad via phone (484) 891-0608.

Contact Information

Primary practice address
623 W Union Blvd Ste 1B Bethlehem PA 18018-3708
Phone: (484) 891-0608
Fax: (484) 283-2232
Website:
Map and Directions
Authorized official contact:
Name: Jasim, Muhammad
Phone: (484) 891-0608

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X Pennsylvania

Profile Details

NPI number 1922353143
LBN Legal business name Revive Rehab Services Llc
DBA Doing business as
Authorized official Jasim, Muhammad
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2012
Last updated Feb 3rd, 2021 - about 4 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 1922353143 NPPES
Pennsylvania MEDICAID 102786220

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