Revive Health Senior Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REVIVE HEALTH SENIOR CARE LLC

Doing business as

Alta Skilled Nursing and Rehabilitation Center

Practice address

555 Hammill LN
Reno, NV 89511-1004

Phone

(775) 828-5600

NPI assigned

Dec 9, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Zachary Gray

Title

Ceo

Phone

(518) 852-3255

Specialties & licenses 1

Addresses

Other names 1

• Alta Skilled Nursing and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Skilled nursing facility certification: CCN 295077

Legal name

REVIVE HEALTH SENIOR CARE LLC

Doing business as

ALTA SKILLED NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 18, 2000

Last certification

May 15, 2025

Beds

180

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Feb 1, 2019

Organization structure

LLCProprietary

Incorporated

Oct 23, 2018 in NV

Enrollment address

555 Hammill LN
Reno, NV 89511-1004

Nursing home name

ALTA SKILLED NURSING AND REHABILITATION CENTER

Listed as

Alta Skilled Nursing and Rehabilitation CenterCCN 295077 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 18, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180164.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Alta Skilled Nursing and Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Revive Health Senior Care LLC

  • Physical Therapy Clinic/Center
  • Reno, NV
  • NPI 1316419120
  NPD tax ID

Locations

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mel C. Magboo, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Reno, NV
  • NPI 1114937158

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Revive Sparks LLC

  • Skilled Nursing Facility
  • Sparks, NV
  • NPI 1881355857

  Revive Health Senior Care Management LLC

  CMS ownership

Practitioners 2

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

• Mel C. Magboo, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Reno, NV
  • NPI 1114937158
  NPD (past)
• Kori L Singleton, MD

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1205807005
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Olivia P. Baugh, MD

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1457478604

  Nursing home

  Care Compare affiliation
• Mel C. Magboo, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Reno, NV
  • NPI 1114937158

  Nursing home

  Care Compare affiliation
• Kori L Singleton, MD

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1205807005

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544313600000",
    "number": "1700357308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111004",
            "telephone_number": "775-828-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111004",
            "telephone_number": "775-828-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE HEALTH SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-09",
        "last_updated": "2018-12-09",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-852-3255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Skilled Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Revenge Medical Inc
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• Kaelie Lynn Reviglio, DMD
• Amanda Revis
• Revive Health Senior Care LLC
• Revive Reno LLC
• Revive Reno LLC
• Revive SV Opco, LLC
• Blanca Reyes
• Brenda Reyes

• Skilled Nursing Facility in Reno, NV
• Providers in Reno, NV by specialty
• Skilled Nursing Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.