Active NPI
Revive SV Opco, LLC
- Assisted Living Facility
- Reno, NV
National Provider Identifier
1023940772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- REVIVE SV OPCO, LLC
- Practice address
- 6155 Stone Valley Dr
Reno, NV 89523-1203 - Phone
- (775) 746-2200
- NPI assigned
- May 29, 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
- Zachary Gray
- Title
- Ceo
- Phone
- (518) 852-3255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
6155 Stone Valley Dr
Reno, NV 89523-1203
Mailing address
9410 Prototype Dr Ste 7
Reno, NV 89521-5903
Phone (775) 746-2200
National Provider Directory
National Provider DirectoryLocations
9410 Prototype Dr
Ste 7
Reno, NV 89521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1023940772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9410 PROTOTYPE DR STE 7",
"city": "RENO",
"state": "NV",
"postal_code": "895215903",
"telephone_number": "775-746-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6155 STONE VALLEY DR",
"city": "RENO",
"state": "NV",
"postal_code": "895231203",
"telephone_number": "775-746-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVIVE SV OPCO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "ZACHARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "518-852-3255"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.