Revive Ministries, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

REVIVE MINISTRIES, INC

Practice address

185 Elm Tree LN
Lexington, KY 40507

Phone

(859) 469-9023

Fax

(859) 881-0045

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jerome A Tomlian, LCSW, LCADC

Title

Program Director

Phone

(859) 576-8279

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Revive Ministries Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Revive Ministries Inc

  • Addiction (Substance Use Disorder) Counselor
  • Nicholasville, KY
  • NPI 1063909067
  NPD tax ID
• Revive Ministries Inc

  dba Revive Life House Outpatient Center

  • Addiction (Substance Use Disorder) Psychologist
  • Nicholasville, KY
  • NPI 1891370185
  NPD tax ID

Locations

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1376030262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ELM TREE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071924",
            "telephone_number": "859-576-8279",
            "fax_number": "859-881-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ELM TREE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40507",
            "telephone_number": "859-469-9023",
            "fax_number": "859-881-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE MINISTRIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "TOMLIAN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "859-576-8279",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHSO",
            "identifier": "810626",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710052080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Joseph Reuss, M.S., A.T.C., CKTP
• Daniela Reuter, RBT
• Ethan Revis, DO
• Revitalounge IV Hydration and Wellness, PLLC
• Revive Chiropractic Centers Millpond LLC
• Megan Revlett, MSN, APRN, FNP-C
• Rewind Medical, LLC (Rewind Health & Wellness)
• Brittany Nicole Rexroat
• Emanuel Reyes-Valiente
• Kendra Lee Reyes, BS, RBT

• Substance Abuse Rehabilitation Facility in Lexington, KY
• Providers in Lexington, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.