Active NPI
Revitalization Wellness Consultants, LLC
- Developmentally Disabled Services Day Training Agency
- Chester, NY
National Provider Identifier
1003723792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- REVITALIZATION WELLNESS CONSULTANTS, LLC
- Practice address
- 4 Farmers LN
Chester, NY 10918-1704 - Phone
- (917) 687-9317
- NPI assigned
- Aug 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taisha Bulgin
- Title
- Owner
- Phone
- (917) 687-9317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
4 Farmers LN
Chester, NY 10918-1704
Mailing address
4 Farmers LN
Chester, NY 10918-1704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1003723792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FARMERS LN",
"city": "CHESTER",
"state": "NY",
"postal_code": "109181704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 FARMERS LN",
"city": "CHESTER",
"state": "NY",
"postal_code": "109181704",
"telephone_number": "917-687-9317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVITALIZATION WELLNESS CONSULTANTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "BULGIN",
"authorized_official_first_name": "TAISHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-687-9317"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.