Organization Active NPI

Revive SV Opco, LLC

  • Assisted Living Facility
  • Reno, NV
National Provider Identifier
1023940772
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on May 29, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.