Restored Life Health Network

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RESTORED LIFE HEALTH NETWORK

Practice address

302 S Reed Rd
Kokomo, IN 46901-4900

Phone

(765) 780-7689

NPI assigned

Sep 1, 2023

Last updated

Dec 2, 2025By 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

David Christenson

Title

Executive Director

Phone

(765) 780-7689

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Erin Kelly, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1962944454
  Medicare reassignment Care Compare group NPD
• Lana Wells, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kokomo, IN
  • NPI 1548896210
  Medicare reassignment Care Compare group NPD
• Anna Koblik Chen, MD

  • Clinical Neurophysiology Physician
  • Marina del Rey, CA
  • NPI 1972967982

  IN

  Medicare reassignment Care Compare group NPD
• Angela J Bowman, NP

  • Family Nurse Practitioner
  • Kokomo, IN
  • NPI 1033280425
  Medicare reassignment NPD
• Laura Brown, LCSW

  • Clinical Social Worker
  • Kokomo, IN
  • NPI 1992547459
  Medicare reassignment NPD
• Carolyn Louise Keihn, FNP-BC

  • Family Nurse Practitioner
  • Portland, IN
  • NPI 1609186030
  Medicare reassignment NPD
• Patrick Ryan McGuire, DO

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1932638988
  Medicare reassignment NPD
• Theresa Suozzi, MD

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1952544199
  Medicare reassignment NPD
• Rhonda A Goforth, FNP

  • Family Nurse Practitioner
  • Alexandria, IN
  • NPI 1215336219
  Medicare reassignment
• Matthew Matteson

  • Clinical Social Worker
  • Kokomo, IN
  • NPI 1467096339
  NPD

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1487430864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S REED RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014900",
            "telephone_number": "765-780-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S REED RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014900",
            "telephone_number": "765-780-7689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1236 N Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469012604",
            "country_code": "US",
            "telephone_number": "765-780-7689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORED LIFE HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "765-780-7689"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Replay Physical Therapy
• Residential Care VI, LLC (Northwoods Commons)
• Responsive Home Health Care Inc (Rotech)
• Brewster Restauro, PT
• Restore Family Counseling, LLC
• Restored Life Taxi
• Kayla Rexroad, NP
• Todd Reyburn, MD
• Chyan Reyes
• Deana Reynolds, LMFT

• Multi-Specialty Clinic/Center in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Multi-Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.