Active NPI
Revive Private Care
- Nursing Care Agency
- Atlanta, GA
National Provider Identifier
1255228458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- REVIVE PRIVATE CARE
- Practice address
- 117 Kiram Ter SW
Atlanta, GA 30331-6020 - Phone
- (305) 345-1025
- NPI assigned
- Jun 20, 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
- Andrew Guerrier
- Title
- Owner
- Phone
- (305) 345-1025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
117 Kiram Ter SW
Atlanta, GA 30331-6020
Mailing address
117 Kiram Ter SW
Atlanta, GA 30331-6020
Phone (305) 345-1025
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750377600000",
"number": "1255228458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 KIRAM TER SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303316020",
"telephone_number": "305-345-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 KIRAM TER SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303316020",
"telephone_number": "305-345-1025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVIVE PRIVATE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-20",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A",
"authorized_official_last_name": "GUERRIER",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-345-1025"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.