Revive Health

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REVIVE HEALTH

Practice address

7777 Southwest Fwy
Medical Plaza I, Suite 554
Houston, TX 77074-1802

Phone

(713) 777-3639

NPI assigned

Jan 28, 2015

Organization subpart

No

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

Authorized official

Name

Nilesh Bavishi, M.D.

Title

Medical Director

Phone

(713) 777-3639

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1154711232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "MEDICAL PLAZA I, SUITE 554",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "MEDICAL PLAZA I, SUITE 554",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802",
            "telephone_number": "713-777-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "BAVISHI",
        "authorized_official_first_name": "NILESH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-777-3639",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revitalizaing Out-Patient Rehabilitation Facility
• Revitalized Resilience PLLC
• Revival Health Clinic
• Revival Homecare of Houson Inc.
• Revive F W
• Revive RX LLC
• Revive RX LLC
• Revolution EMS Inc
• Revolve Physical Therapy LP
• Lorena Fernandes Revoredo, APRN

• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.