Organization Active NPI

Revival Bodyworks LLC

  • In Home Supportive Care Agency
  • North Hollywood, CA
National Provider Identifier
1275480667
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REVIVAL BODYWORKS LLC
Practice address
5835 Colfax Ave Apt 2
North Hollywood, CA 91601-1039
Phone
(818) 699-8998
NPI assigned
Mar 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Donald LopezNPI 1538015045
Title
Ceo
Phone
(818) 699-8998

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5835 Colfax Ave Apt 2
North Hollywood, CA 91601-1039

Mailing address

5835 Colfax Ave Apt 2
North Hollywood, CA 91601-1039
Phone (818) 699-8998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1275480667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 COLFAX AVE APT 2",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011039",
            "telephone_number": "818-699-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 COLFAX AVE APT 2",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011039",
            "telephone_number": "818-699-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL BODYWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-699-8998"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.