Revived Beauty LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

REVIVED BEAUTY LLC

Doing business as

Her Power Rx Health Solutions
ResilientMed Solutions Group
Revived Beauty Prescription Wigs

Practice address

1100 NW Loop 410 Ste 700
San Antonio, TX 78213-2258

Phone

(210) 708-1262

NPI assigned

Nov 27, 2024

Organization subpart

No

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

Authorized official

Name

Taunya FordNPI 1649961723

Title

Chief Executive Officer

Phone

(210) 708-1262

Specialties & licenses 1

Addresses

Other names 3

• Her Power Rx Health Solutions Doing business as
• ResilientMed Solutions Group Doing business as
• Revived Beauty Prescription Wigs Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taunya La Tausha Ford

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
  • NPI 1649961723
  NPD Authorized official

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1053137638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 TERCERO ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782244478",
            "telephone_number": "210-708-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW LOOP 410 STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132258",
            "telephone_number": "210-708-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVED BEAUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "TAUNYA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "210-708-1262"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Her Power Rx Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ResilientMed Solutions Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revived Beauty Prescription Wigs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Revilla Capital Group, LLC (Bright Day Home Care)
• Danya Yrais Revilla, CCC-SLP
• Revise Wellness Services
• Revitalizing Minds Therapy Solutions
• Revival Performance Physical Therapy
• Revolution Mental Health Counseling, PLLC
• Revolution Physical Therapy & Wellness
• Revolution Wellness (Performance Chiropractic and Sports Rehab, PLLC)
• Gangadhar Revuluri, PHARMACIST
• Paul Jonathan Rex, IDMT

• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.