Revive Health Primary & Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

REVIVE HEALTH PRIMARY & URGENT CARE LLC

Practice address

401 Cleveland St
Elyria, OH 44035-6143

Phone

(440) 387-4409

Fax

(440) 387-4427

NPI assigned

Oct 29, 2026

Last updated

Oct 29, 2026By 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

Mrs. Candace Lee Bolarinwa, APRN-CNPNPI 1548017965

Title

Nurse Practitioner

Phone

(440) 309-3823

Specialties & licenses 1

Addresses

Tax ID family

Revive Health Primary Urgent Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Revive Health Primary & Urgent Care LLC

  • Primary Care Nurse Practitioner
  • Elyria, OH
  • NPI 1336004530
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candace Lee Bolarinwa, APRN-CNP

  • Family Nurse Practitioner
  • Middleburg Heights, OH
  • NPI 1548017965
  NPD (past) Authorized official

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

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1447158217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CLEVELAND ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356143",
            "telephone_number": "440-387-4409",
            "fax_number": "440-387-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CLEVELAND ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356143",
            "telephone_number": "440-387-4409",
            "fax_number": "440-387-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE HEALTH PRIMARY & URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "BOLARINWA",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "440-309-3823",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Pathology Associates, Inc.
• Caitlin P Reilly
• Martha C. Reiser, CNP
• Respiratory and Sleep Disorders Consultants, Inc.
• Revive Health Primary & Urgent Care LLC
• Korenna Barto Reynard, LPC
• Martin L. Ribovich, M.D.
• Richard L Fogel DDS Ms Inc
• Michelle Rena Richardson
• Katherine K Rickey

• Urgent Care Clinic/Center in Elyria, OH
• Providers in Elyria, OH by specialty
• Urgent Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; 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.