Organization Active NPI

Reviving Passage LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Angleton, TX
National Provider Identifier
1073428470
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
REVIVING PASSAGE LLC
Practice address
1380 Jimmy Phillips Blvd
Angleton, TX 77515-7407
Phone
(281) 747-5700
NPI assigned
Aug 18, 2026
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Mrs. Cynthia To-Trinh Tran, RN
Title
Operational Manager
Phone
(832) 858-2450

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary
Psychiatric Residential Treatment Facility 323P00000X NU

Addresses

Primary practice location

1380 Jimmy Phillips Blvd
Angleton, TX 77515-7407

Mailing address

1380 Jimmy Phillips Blvd
Angleton, TX 77515-7407
Phone (281) 747-5700

National Provider Directory

National Provider Directory

Locations

1380 Jimmy Phillips Blvd
Angleton, TX 77515

NPI Registry JSON

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1073428470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 JIMMY PHILLIPS BLVD",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775157407",
            "telephone_number": "281-747-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 JIMMY PHILLIPS BLVD",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775157407",
            "telephone_number": "281-747-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVING PASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "TO-TRINH",
        "authorized_official_title_or_position": "OPERATIONAL MANAGER",
        "authorized_official_telephone_number": "832-858-2450",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angleton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.