REVIVE INC (NPI# 1063646479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063646479 |
| Entity Type | Organization |
| Organization Name | REVIVE INC |
| Other Organization Name | HORIZON RECOVERY & COUNSELING CENTER |
| Practice Address |
835 S Burlington Ave Ste. 115 Hastings NE 68901-6960 |
| Practice Telephone | 4024622066 |
| Practice Fax Number | 4024622045 |
| Mailing Telephone | 4024622066 |
| Mailing Fax Number | 4024622045 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |
| Authorized Official Name | DAN RUTT (DIRECTOR) |
| Authorized Official Telephone | 4024622066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SATC171 | NE | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Horizon Recovery & Counseling Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Revive Incorporated LLC | 11994 East Kepner Dr, Aurora, CO 80012 |
| Street Address |
835 S BURLINGTON AVE STE. 115 |
| City | HASTINGS |
| State | NE |
| Zip Code | 68901-6960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161013 | Judith Luehr | Nurse Practitioner | 835 S Burlington Ave, Suite 208, Hastings, NE 68901-6960 | 2005-08-15 |
| 1750736534 | Nicole Reed Petersen | Counselor | 835 S Burlington Ave, Ste 108, Hastings, NE 68901-6960 | 2016-04-28 |
| 1710369103 | Suzanne Kay Gregg | Nurse Practitioner | 835 S Burlington Ave, Suite 108, Hastings, NE 68901-6960 | 2015-06-23 |
| 1669816294 | Heidi L Degodt | Counselor | 835 S Burlington Ave, Suite 108, Hastings, NE 68901-6960 | 2013-04-25 |
| 1245514058 | Rosemary Peterson | Counselor | 835 S Burlington Ave, Ste 107, Hastings, NE 68901-6960 | 2011-09-29 |
| 1770866154 | Kathleen Schroeder | Counselor | 835 S Burlington Ave, Suite 107, Hastings, NE 68901-6960 | 2011-09-22 |
| 1811270200 | Melody Helton | Registered Nurse | 835 S Burlington Ave, Suite 107, Hastings, NE 68901-6960 | 2011-09-22 |
| 1598048985 | Carrie Kort | Registered Nurse | 835 S Burlington Ave, Suite 107, Hastings, NE 68901-6960 | 2011-09-22 |
| 1417230897 | Michelle Schneider | Case Manager/Care Coordinator | 835 S Burlington Ave, Suite 107, Hastings, NE 68901-6960 | 2011-09-22 |
| 1326272725 | Margaret Molhman | Counselor | 835 S Burlington Ave, Ste. 115, Hastings, NE 68901-6960 | 2009-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771423 | Melanie Rose Gardels | Dental Hygienist | 601 N St. Joseph Ave, Hastings, NE 68901 | 2018-12-10 |
| 1730688227 | Amelia R. Govert | Physician Assistant | 715 North Saint Joseph Avenue, Attn: Kim Kennedy Med Staff Coordinator, Hastings, NE 68901 | 2018-02-09 |
| 1881102846 | Sydney Jo Svehla | Occupational Therapist | 3601 Cimarron Plz Ste 105, Hastings, NE 68901 | 2018-01-11 |
| 1275938995 | Amanda Teter | Community Health Worker | 800 E 12th St, Hastings, NE 68901 | 2014-10-23 |
| 1013271246 | Dacia Dawn Oakeson | Nurse Practitioner | 224 E 14th St. Ste 100, Hastings, NE 68901 | 2012-07-03 |
| 1558590935 | Brenda Marie Bivens | Physical Therapist | 2307 Osborne Drive West, Hastings, NE 68901 | 2009-07-07 |
| 1841475894 | Christopher Andrew Murray | Chiropractor | 1934 West 2nd Street, Hastings, NE 68901 | 2008-01-08 |
| 1073725198 | Hastings Heart Institute LLC | Clinic/Center | 715 N Kansas Avenue, Suite 302, Hastings, NE 68901 | 2007-05-03 |
| 1790827764 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 926 East 'e' St, Hastings, NE 68901 | 2007-02-13 |
| 1508905308 | Margaret Irene Mc Cready | Counselor | Burlington Plaza, Burlington Street, Hastings, NE 68901 | 2007-02-06 |
| Find all providers in zip 68901 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267110 | Jessica Elizabeth Nelson | Counselor | 1294 18th St E # 2, Hastings, MN 55033-3680 | 2020-05-27 |
| 1770028003 | Wendy R Hansen | Counselor | 218 S Rhode Island Ave, Hastings, NE 68901-6346 | 2016-12-22 |
| 1538603188 | Rodney Dell | Counselor | 835 S Burlington Ave Ste 115, Hastings, NE 68901-6928 | 2016-12-15 |
| 1245611813 | Pam Schmitt | Counselor | 11177 Panama Ave S, Hastings, MN 55033-9156 | 2015-06-09 |
| 1538549225 | Robert Melson | Counselor | 513 17th St E, Hastings, MN 55033-3108 | 2015-06-08 |
| 1760890743 | Cheryl Blankenship | Counselor | 1235 N Hewett Ave, Hastings, NE 68901-2931 | 2014-07-23 |
| 1750700027 | Amy Carrison | Counselor | 1926 Rose Way, Hastings, MN 55033-4068 | 2014-04-15 |
| 1346413838 | Martin Konantz Miller | Counselor | 225 N Saint Joseph Ave, Hastings, NE 68901-7555 | 2008-04-07 |
| 1043495476 | John C Folcik | Counselor | 615 E 5th St, Hastings, NE 68901-5336 | 2008-01-03 |
| 1861696122 | Judy Kay Melius | Counselor | 422 N Hastings Ave Ste 225, Hastings, NE 68901-5107 | 2007-06-12 |
| Find all providers in HASTINGS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.