Rapid Revive Wellness LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RAPID REVIVE WELLNESS LLC

Practice address

16 SW 9TH St
Battle Ground, WA 98604-3126

Phone

(360) 217-9321

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darline Pham

Title

Owner

Phone

(541) 870-0146

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1407698426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986060336",
            "telephone_number": "360-217-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SW 9TH ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986043126",
            "telephone_number": "360-217-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPID REVIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DARLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-870-0146"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@rapidrevivewellness.life",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16 SW 9th St",
            "city": "Battle Ground",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986043126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Russell Colt Quiring, MA 61339704
• Cynthia Dean Radclliff, RPH
• Gurmu Dhaaye Ragassa, RN, BSN
• Melissa Ramirez, DPT
• Emily Ramseth
• Chandra Redinger
• Whitney Lynn Reeve, MSW, LSWAIC
• Sara Reid, FNP
• Jack Melvin Richard, DDS
• Lisa Annette Richardson, LPN

• Home Health Agency in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.