Revive Community Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

REVIVE COMMUNITY SERVICES

Practice address

325 Scott St
Council Bluffs, IA 51503-0756

Phone

(866) 426-1877

NPI assigned

Nov 25, 2024

Organization subpart

No

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

Authorized official

Name

Jlynn Darae HartzellNPI 1508691965

Title

Ceo

Phone

(402) 320-3057

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jlynn Hartzell

  • Adult Day Care Clinic/Center
  • Omaha, NE
  • NPI 1508691965

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1548086440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18930 GROVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306089",
            "telephone_number": "866-426-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SCOTT ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030756",
            "telephone_number": "866-426-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "HARTZELL",
        "authorized_official_first_name": "JLYNN",
        "authorized_official_middle_name": "DARAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-320-3057"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayden L Reilly, PA-C
• Rem Iowa Community Services, Inc
• Rem Iowa, Inc
• Michael Anthony Rensch, DDS
• Janet Reuter, M.D.
• Stephanie R Revord, APRN
• David Michael Reynolds II, LPN
• Aushnee Rhodes, PLADC
• Nancy Katherine Rhodes, O.D.
• Sandra Jean Rhodes

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.