Revive Hydration & Wellness LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

REVIVE HYDRATION & WELLNESS LLC

Doing business as

Revive Hydration & Wellness

Practice address

2 Michigan Ave W Ste 201
Battle Creek, MI 49017-3621

Phone

(269) 282-9022

Fax

(844) 332-3887

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Pierce

Title

Agent

Phone

(269) 282-9022

Specialties & licenses 2

Addresses

Other names 1

• REVIVE HYDRATION & WELLNESS Doing business as

Locations

Practitioners 2

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

• Douglas Johan Abraham, APRN, FNP-C, ENP-C,

  • Nurse Practitioner
  • Battle Creek, MI
  • NPI 1811689144
  NPD
• David W Teegarden, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1508221474
  NPD

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1992556369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 COFFEEN AVE STE 1417",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015777",
            "telephone_number": "269-282-9022",
            "fax_number": "844-332-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MICHIGAN AVE W STE 201",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173621",
            "telephone_number": "269-282-9022",
            "fax_number": "844-332-3887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Coffeen Ave Ste 1417",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828015777",
            "country_code": "US",
            "telephone_number": "269-282-9022 x84433",
            "fax_number": "844-332-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVIVE HYDRATION & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "269-282-9022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REVIVE HYDRATION & WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniela Renkiewicz, M.D.
• Res-Care Premier, Inc.
• Res-Care Premier, Inc.
• Residential Home Sleep Services
• Steven Reuter, RPH
• Carolyn Rex
• Brock Reynolds
• Frederick A. Reynolds, MSW
• Mollie Reynolds
• Suzanne Jerome Reynolds, M.S.W.

• Infusion Therapy Clinic/Center in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Infusion Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.