Organization Active NPI

Revive Health and Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Denver, CO
National Provider Identifier
1295446771
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on May 9, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.