NPIMap

Organization Active NPI

Revitalizing Wellness & Hydration

  • Clinic/Center
  • Covington, GA
National Provider Identifier
1942955513
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REVITALIZING WELLNESS & HYDRATION
Practice address
80 Oak Terrace Dr
Covington, GA 30016-0241
Phone
(404) 200-1911
NPI assigned
Feb 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Authorized official

Name
Kareemah Rashied, RNNPI 1881349454
Title
Owner
Phone
(404) 200-1911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

80 Oak Terrace Dr
Covington, GA 30016-0241

Mailing address

80 Oak Terrace Dr
Covington, GA 30016-0241
Phone (404) 200-1911

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644624000000",
    "number": "1942955513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 OAK TERRACE DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300160241",
            "telephone_number": "404-200-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OAK TERRACE DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300160241",
            "telephone_number": "404-200-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZING WELLNESS & HYDRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A",
        "authorized_official_last_name": "RASHIED",
        "authorized_official_first_name": "KAREEMAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-200-1911",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; 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.