Re:Vibe Wellness Company LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

RE:VIBE WELLNESS COMPANY LLC

Practice address

30400 Detroit Rd Ste 301
Westlake, OH 44145-1855

Phone

(440) 541-6000

NPI assigned

Mar 1, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Serfozo, LISWNPI 1336620368

Title

Owner

Phone

(440) 541-6000

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.

• Rebecca Ann Serfozo, LSW

  • Social Worker
  • Columbus, OH
  • NPI 1336620368
  NPD Authorized official

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724544000000",
    "number": "1962269480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 W 4TH ST UNIT 692",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440525829",
            "telephone_number": "440-541-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 DETROIT RD STE 301",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451855",
            "telephone_number": "440-541-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE:VIBE WELLNESS COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A",
        "authorized_official_last_name": "SERFOZO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-541-6000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashidas Healing Hands
• Arash Rashidi, M.D.
• Fares Raslan, MD
• Laura Ratcliff
• Ramachandran C Ravichandran, MD
• Victoria Real, RBT
• Joale Reda, COTA/L
• Ariel Redden, RBT
• Eliza Redden
• Michael David Reep, MD

• Social Worker in Westlake, OH
• Providers in Westlake, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.