Revived Senior Living

LBN: Revived Senior Living
Revived Senior Living is an health care organization with primary practice located at 7020 Wilson Grove Rd , Mint Hill NC 28227-4352. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Revived Senior Living can be contacted via phone (704) 361-4187, or through Iwuji, Daniel via phone (704) 361-4187.

Contact Information

Primary practice address
7020 Wilson Grove Rd Mint Hill NC 28227-4352
Phone: (704) 361-4187
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Iwuji, Daniel
Phone: (704) 361-4187

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1811631336
LBN Legal business name Revived Senior Living
DBA Doing business as
Authorized official Iwuji, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2022
Last updated Apr 21st, 2022 - about 2 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 1811631336 NPPES
North Carolina MEDICAID 1235885203

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