Active NPI
Rejuvenate Recover Recreate, LLC
- Home Health Agency
- Greeley, CO
National Provider Identifier
1255223566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- REJUVENATE RECOVER RECREATE, LLC
- Practice address
- 2400 10TH Ave
Greeley, CO 80631-6914 - Phone
- (719) 663-4622
- NPI assigned
- Jul 21, 2025
- Last updated
- Jul 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Ann Douglass
- Title
- Owner
- Phone
- (719) 663-6422
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Personal Care Attendant | 3747P1801X | NU | ||
| Respite Care | 385H00000X | NU | ||
| Community Health Worker | 172V00000X | NU | ||
| PACE Provider Organization | 251T00000X | NU | ||
| Peer Specialist | 175T00000X | NU |
Addresses
Primary practice location
2400 10TH Ave
Greeley, CO 80631-6914
Mailing address
2400 10TH Ave
Greeley, CO 80631-6914
Phone (719) 663-4622
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753056000000",
"number": "1255223566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 10TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806316914",
"telephone_number": "719-663-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 10TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806316914",
"telephone_number": "719-663-4622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REJUVENATE RECOVER RECREATE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-21",
"last_updated": "2025-07-21",
"certification_date": "2025-07-19",
"status": "A",
"authorized_official_last_name": "DOUGLASS",
"authorized_official_first_name": "MELANIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-663-6422"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.