Revive 906 LLC

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

REVIVE 906 LLC

Doing business as

Revive Hydration and Wellness

Practice address

8842 Winegar Rd
Laingsburg, MI 48848-8722

Phone

(906) 282-4372

NPI assigned

Jun 17, 2024

Last updated

Jun 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah HartNPI 1609731165

Title

Owner/Paramedic

Phone

(906) 282-4372

Specialties & licenses 1

Addresses

Other names 1

• Revive Hydration and Wellness Doing business as

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.

• Sarah Hart

  • Massage Therapist
  • East Lansing, MI
  • NPI 1609731165
  NPD Authorized official

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1861235723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8842 WINEGAR RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488488722",
            "telephone_number": "906-200-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8842 WINEGAR RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488488722",
            "telephone_number": "906-282-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE 906 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/PARAMEDIC",
        "authorized_official_telephone_number": "906-282-4372",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Hydration and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revive Hydration and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laingsburg Sciota Woodhull Emergency Services Authority
• Trista Malitz
• Labony Mookerjee, M.D.
• Brittany Melissa Nelson, LMSW
• Constance M Priest, OTR
• Erin Rice, FNP-C
• RN Plus Staffing
• Thomas F Roe, MD
• Nikki Romero
• Amanda Josephine Rushlow, BCHHP, HTMA-P

• Home Infusion Agency in Laingsburg, MI
• Providers in Laingsburg, MI by specialty
• Home Infusion Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.