Reivitalize Therapy Infusions & Health Services, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

REIVITALIZE THERAPY INFUSIONS & HEALTH SERVICES, LLC

Practice address

220 Sunflower Ave
Clarksdale, MS 38614-4221

Phone

(662) 351-2035

Fax

(662) 351-2045

NPI assigned

Dec 14, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Jones, FNP-CNPI 1124505649

Title

Member

Phone

(662) 351-2035

Specialties & licenses 3

Addresses

Other names 4

• ReIVitalize Therapy Infusions Doing business as
• ReIVitalize Therapy Infusions & Health Services Doing business as
• ReIVitalize Therapy Center PLLC Former legal business name
• ReIVitalize Therapy Infusions, PLLC Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

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

• Anna Jones

  • Nurse Practitioner
  • Clarksdale, MS
  • NPI 1124505649
  NPD Authorized official

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1104538768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1744",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386148544",
            "telephone_number": "662-351-2035",
            "fax_number": "662-351-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SUNFLOWER AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144221",
            "telephone_number": "662-351-2035",
            "fax_number": "662-351-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIVITALIZE THERAPY INFUSIONS & HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "662-351-2035",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.reivitalizetherapyinfusions.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "address_1": "220 Sunflower Ave",
            "city": "Clarksdale",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386144221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ReIVitalize Therapy Infusions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ReIVitalize Therapy Infusions & Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ReIVitalize Therapy Center PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "ReIVitalize Therapy Infusions, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Infusion Therapy Clinic/Center in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Infusion Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.