Active NPI
Revive Health and Recovery, LLC
- Substance Abuse Rehabilitation Facility
- Denver, CO
National Provider Identifier
1295446771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- REVIVE HEALTH AND RECOVERY, LLC
- Practice address
- 1427 S Federal Blvd Ste a
Denver, CO 80219-4720 - Phone
- (720) 207-4646
- NPI assigned
- Dec 6, 2022
- Reactivated
- May 9, 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
- Mr. Jason Truong
- Title
- Owner
- Phone
- (720) 207-4646
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
1427 S Federal Blvd Ste a
Denver, CO 80219-4720
Mailing address
1427 S Federal Blvd Ste a
Denver, CO 80219-4720
Phone (720) 207-4646
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746748800000",
"number": "1295446771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 S FEDERAL BLVD STE A",
"city": "DENVER",
"state": "CO",
"postal_code": "802194720",
"telephone_number": "720-207-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 S FEDERAL BLVD STE A",
"city": "DENVER",
"state": "CO",
"postal_code": "802194720",
"telephone_number": "720-207-4646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVIVE HEALTH AND RECOVERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-06",
"last_updated": "2025-05-09",
"certification_date": "2024-05-03",
"deactivation_date": "2025-03-24",
"reactivation_date": "2025-05-09",
"status": "A",
"authorized_official_last_name": "TRUONG",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-207-4646",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.