Revive in Action Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

REVIVE IN ACTION INC.

Practice address

220 Bear Hill Rd Ste 103
Waltham, MA 02451-1004

Phone

(781) 227-5692

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Rebecca Jean

Title

Executive Officer

Phone

(781) 227-5692

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1396567426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BEAR HILL RD STE 103",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BEAR HILL RD STE 103",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511004",
            "telephone_number": "781-227-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE IN ACTION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "781-227-5692"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Waltham, MA
• Providers in Waltham, MA by specialty
• Case Management Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.