Revive Day Program

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

REVIVE DAY PROGRAM

Practice address

2906 Mesa Oak CT
Brentwood, CA 94513-4625

Phone

(925) 623-6094

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Genevieve DaceNPI 1396991360

Title

Owner

Phone

(925) 623-6094

Specialties & licenses 1

Addresses

Other names 1

• ReVive Doing business as

Locations

Practitioners 1

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

• Genevieve Dace, N.P.

  • Primary Care Clinic/Center
  • Pittsburg, CA
  • NPI 1396991360
  NPD Authorized official

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1104601541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8368 BRENTWOOD BLVD # C",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131347",
            "telephone_number": "925-623-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 MESA OAK CT",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134625",
            "telephone_number": "925-623-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE DAY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "DACE",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-623-6094",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReVive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rene Lewellyn Marriage and Family Therapist Inc.
• Renu Eating Disorder Treatment
• Precious Harmony Gonzales Resngit
• Jennifer Tuyen Resto, RPH
• Revive Counseling Family Services
• Jose Manuel Reyes Rivera III
• Brenda Reyes, DDS
• Brian Arellano Reyes, M.D.
• Carrington Armanti Reyes
• Kimberly Reyes

• Adult Care Home Facility in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.