- Practice location
- 231 Old Tower Hill RD Ste 202, Wakefield, RI 02879-3708
- Phone
- 401-773-9994
- Fax
- —
- Last updated
- March 15, 2023
Revitalized LLC is a healthcare organization based in Wakefield, RI. Revitalized LLC practices in Wakefield, RI. The NPI Number for Revitalized LLC is 1740981877. The current practice location address for Revitalized LLC is 231 Old Tower Hill RD Ste 202, Wakefield, RI 02879-3708 and can be reached out via phone at 401-773-9994.
Provider Profile Details
- NPI Number
- 1740981877
- Provider Name
- Revitalized LLC
- Provider Entity Type
- Organization
- Address
- 231 Old Tower Hill RD Ste 202, Wakefield, RI 02879-3708
- Phone Number
- 401-773-9994
- Primary Taxonomy
- Home Infusion · 251F00000X
- Organization Subpart
- No
- Authorized Official
- Nathanael Farrelly · President · 401-773-9994
- Other Names
- Revitalized Specialty Infusion Services (Doing Business As)
- Provider Enumeration Date
- March 15, 2023
- Last Update Date
- March 15, 2023
- Certification Date
- March 15, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 231 Old Tower Hill RD Ste 202
Wakefield, RI 02879-3708 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879-3708
- Phone Number
- 401-773-9994
Provider Business Mailing Address Details
- Address
- 231 Old Tower Hill RD Ste 202
Wakefield, RI 02879-3708 - City
- Wakefield
- State
- RI
- Zip
- 02879-3708
- Phone Number
- 401-773-9994
License Information
- Taxonomy (1)
- Home Health · 251E00000X
- Taxonomy (2)
- Home Infusion · 251F00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Revitalized LLC?
The NPI number of Revitalized LLC is 1740981877. It was assigned on March 15, 2023 and is currently active in the NPPES registry.
What is the specialty of Revitalized LLC?
Revitalized LLC is registered under the primary taxonomy Home Infusion (code 251F00000X).
Where does Revitalized LLC practice?
The practice location is 231 Old Tower Hill RD Ste 202, Wakefield, RI 02879-3708. The office can be reached at 401-773-9994 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740981877 directly on the NPPES registry website.