Revive 45 Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

REVIVE 45 INC

Practice address

10544 S Harlem Ave # 205
Palos Hills, IL 60465-2063

Phone

(773) 242-9408

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Lavina HamiltonNPI 1932309655

Title

Owner

Phone

(773) 242-9408

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lavina F Hamilton

  • Specialist
  • Palos Hills, IL
  • NPI 1932309655

  Prosthetics Case Management

  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1760162929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 S SPAULDING AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10544 S HARLEM AVE # 205",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652063",
            "telephone_number": "773-242-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE 45 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "LAVINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-242-9408"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ramirez
• Rci (WRS), LLC.
• Zain Rehman, DNP, CRNA
• Mary P Reilly
• Stephen A. Remmert, MA, NCC, LPC
• Katelynn Reyes
• Priscilla Ann Rian, LCSW, ACSW
• Jacqueline Rice, CNP
• Lisa R Richards, MHP
• Travis Matthew Richmiller

• Durable Medical Equipment & Medical Supplies in Palos Hills, IL
• Providers in Palos Hills, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.