Revitalizaing Out-Patient Rehabilitation Facility

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

REVITALIZAING OUT-PATIENT REHABILITATION FACILITY

Practice address

10203 Finchwood LN
Houston, TX 77036-8606

Phone

(832) 418-2978

Fax

(713) 728-8655

NPI assigned

May 31, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Floridasteane Ivory, CEO

Title

Ceo

Phone

(832) 418-2978

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1811281447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10203 FINCHWOOD LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368606",
            "telephone_number": "832-418-2978",
            "fax_number": "713-728-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10203 FINCHWOOD LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368606",
            "telephone_number": "832-418-2978",
            "fax_number": "713-728-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZAING OUT-PATIENT REHABILITATION FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "IVORY",
        "authorized_official_first_name": "FLORIDASTEANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-418-2978",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Revive Health

• Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.