Organization Active NPI

Revelation Recovery LLC

  • Community/Behavioral Health Agency
  • Denver, CO
National Provider Identifier
1013866110
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REVELATION RECOVERY LLC
Practice address
8107 E Colfax Ave
Denver, CO 80220-2102
Phone
(720) 636-1406
NPI assigned
Jan 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Efrem Daba
Title
Managing Member
Phone
(720) 636-1406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8107 E Colfax Ave
Denver, CO 80220-2102

Mailing address

12786 E Pacific Dr
E11-301
Aurora, CO 80014
Phone (720) 636-1406

National Provider Directory

National Provider Directory

Locations

8107 E Colfax Ave
Denver, CO 80220
Phone (720) 636-1406

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1013866110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12786 E PACIFIC DR",
            "address_2": "E11-301",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80014",
            "telephone_number": "720-636-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8107 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202102",
            "telephone_number": "720-636-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATION RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "DABA",
        "authorized_official_first_name": "EFREM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "720-636-1406"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.