Organization Active NPI

RHW Ventures Inc

Doing business as Revivify Health

  • Clinic/Center
  • Rogers, AR
National Provider Identifier
1548740749
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11106 Issued in ND
Legal business name
RHW VENTURES INC
Doing business as
Revivify Health
Practice address
615 W Oak St
Rogers, AR 72756-5315
Phone
(479) 879-3019
Fax
(479) 372-6609
NPI assigned
Aug 16, 2018
Last updated
Aug 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Shirranna Todd, BA
Title
President
Phone
(479) 301-8829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11106 ND Primary

Addresses

Primary practice location

615 W Oak St
Rogers, AR 72756-5315

Mailing address

615 W Oak St
Rogers, AR 72756-5315
Phone (479) 879-3019

Other identifiers 1

IdentifierTypeStateIssuer
1265413629MedicaidND

Other names 1

  • Revivify Health Doing business as

National Provider Directory

National Provider Directory

Locations

615 W Oak St
Rogers, AR 72756
Phone (479) 631-9996

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1548740749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W OAK ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727565315",
            "telephone_number": "479-879-3019",
            "fax_number": "479-372-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W OAK ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727565315",
            "telephone_number": "479-879-3019",
            "fax_number": "479-372-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHW VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "SHIRRANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-301-8829",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ND",
            "license": "11106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265413629",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revivify Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revivify Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.