Revive Reno LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REVIVE RENO LLC

Practice address

3101 Plumas St
Reno, NV 89509-4515

Phone

(775) 828-5600

Fax

(775) 437-5336

NPI assigned

Feb 24, 2026

Organization subpart

No

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

Authorized official

Name

Sharon Austin-Moffett

Title

Ar Director

Phone

(775) 828-5600

Specialties & licenses 1

Addresses

Other names 1

• Revive Rehabilitation Other name

Tax ID family

Revive Reno LLC2 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 Reno LLC

  • Skilled Nursing Facility
  • Reno, NV
  • NPI 1346901311
  NPD tax ID

Locations

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1932053105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 PROTOTYPE DR STE 7-9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215902",
            "telephone_number": "775-828-5600",
            "fax_number": "775-437-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PLUMAS ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094515",
            "telephone_number": "775-828-5600",
            "fax_number": "775-437-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE RENO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "AUSTIN-MOFFETT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "AR DIRECTOR",
        "authorized_official_telephone_number": "775-828-5600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaelie Lynn Reviglio, DMD
• Amanda Revis
• Revive Health Senior Care LLC
• Revive Health Senior Care LLC
• Revive Reno LLC
• Revive SV Opco, LLC
• Blanca Reyes
• Brenda Reyes
• Cassandra Reyes
• Joseph 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 Feb 24, 2026; 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.