Revive Medical Center LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

REVIVE MEDICAL CENTER LLC

Practice address

7321 Aspire CT
Las Vegas, NV 89113-1183

Phone

(702) 788-6219

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Lisandra Vega Castro

Title

Owner

Phone

(702) 788-6219

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claudia Gallo

  • Community Health Worker
  • Las Vegas, NV
  • NPI 1477814937
  NPD

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1548029697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 ASPIRE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 ASPIRE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131183",
            "telephone_number": "702-788-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "VEGA CASTRO",
        "authorized_official_first_name": "LISANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-788-6219"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianne Revilla, COTA
• Revitacare Health Centers
• Revive Behavior Health LLC
• Revive Crisis Clinic LLC
• Revive Injury & Wellness
• Revive Therapy Health and Wellness Services LLC
• Revived Minds LLC
• Revivify Wound Care and Soft Tissue Specialist
• Revivify Wound Care and Soft Tissue Specialty
• Misael Andrey Revolorio

• Hospitalist Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Hospitalist Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.