Revival Health Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REVIVAL HEALTH SERVICES LLC

Practice address

21065 Powerline Rd Ste 35
Boca Raton, FL 33433-2313

Phone

(561) 484-2947

NPI assigned

May 31, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Camila Mendez

Title

Director of Operations

Phone

(646) 921-0872

Specialties & licenses 1

Addresses

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 1

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

• Mai Bargovsky

  • Family Nurse Practitioner
  • Delray Beach, FL
  • NPI 1356027361
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1669165197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20980 CIPRES WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331604",
            "telephone_number": "646-921-0872",
            "fax_number": "315-612-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21065 POWERLINE RD STE 35",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332313",
            "telephone_number": "561-484-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "CAMILA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "646-921-0872",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Andres Restrepo, L.AC
• Isabel Restrepo I
• Revamed Center for Emotional Wellbeing, LLC
• Revamed Healthcare Partners LLC
• Inna Revich
• Revival Therapy LLC
• Revive Counseling LLC
• Revive Family Chiropractic LLC
• Revive Management Company LLC (Boca Chiropractic)
• Revivify Dermatology, LLC

• Family Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.