Revive & Remedy, Llc

LBN: Revive & Remedy, Llc
Revive & Remedy, Llc is an health care organization with primary practice located at 2851 Shelby St , Bartlett TN 38134-4509. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Managed Care Organizations / Point of Service. Managed Care Organizations / Point of Service is the primary health care specialty. Revive & Remedy, Llc can be contacted via phone (901) 335-8541, or through Wallace-Basken, Terri Trichel via phone (901) 335-8541.

Contact Information

Primary practice address
2851 Shelby St Bartlett TN 38134-4509
Phone: (901) 335-8541
Fax: (901) 425-9685
Website:
Map and Directions
Authorized official contact:
Name: Wallace-Basken, Terri Trichel Family Nurse Practitioner (FNP)
Phone: (901) 335-8541

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1528735602
LBN Legal business name Revive & Remedy, Llc
DBA Doing business as
Authorized official Wallace-Basken, Terri Trichel Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2021
Last updated Feb 2nd, 2022 - 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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