REVIVE F W (NPI# 1306460266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306460266 |
| Entity Type | Organization |
| Organization Name | REVIVE F W |
| Practice Address |
10907 Martindale Rd Houston TX 77048-2011 |
| Practice Telephone | 7134179092 |
| Mailing Telephone | 7134179092 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | JACQUELINE MILLER (DIRECTOR) |
| Authorized Official Telephone | 7134179092 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
10907 MARTINDALE RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77048-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496227 | Kimberly Pipkin Wilder | Day Training/Habilitation Specialist | 5703 South Acres, Houston, TX 77048 | 2020-01-09 |
| 1124677273 | Herlinda Carrizales | Technician | 4610 Allison Rd. #312, Houston, TX 77048 | 2019-09-10 |
| 1558831347 | State of Texas Veterans Land Board | Skilled Nursing Facility | 14041 Cottingham Road, Houston, TX 77048 | 2018-12-05 |
| 1548620594 | Danielle Michelle Brooks | Anesthesiologist Assistant | 12418 Dawn Terrace, Houston, TX 77048 | 2016-03-03 |
| 1720225568 | Pharmacy At Cullen Commons | Pharmacy | 12805 Cullen Blvd, Suite C, Houston, TX 77048 | 2009-01-15 |
| 1235639105 | Shanee Elizabeth Robinson | Registered Nurse | 12322 Dawns Edge Dr, Houston, TX 77048-1060 | 2018-02-17 |
| 1801405436 | Jessica Rash | Registered Nurse | 13111 Withee Path Ln, Houston, TX 77048-1100 | 2020-07-29 |
| 1922383165 | Looking To New Horizons | Counselor | 5208 S Acres Dr, Suite B, Houston, TX 77048-1118 | 2011-10-19 |
| 1013412758 | Tara L Brooks | Registered Nurse | 5119 Denoron Dr, Houston, TX 77048-1601 | 2018-03-26 |
| 1336357243 | Prevailing Faith Outreach Center | Assisted Living Facility | 5423 Grace Point Ln, Houston, TX 77048-1726 | 2007-05-21 |
| Find all providers in zip 77048 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662667 | Journey To Recovery LLC | Clinic/Center | 2815 W T C Jester Blvd Ste 102, Houston, TX 77018-7049 | 2020-09-04 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1770124042 | William Shepherd | Clinic/Center | 16800 Imperial Valley Dr, Houston, TX 77060-3159 | 2019-10-08 |
| 1114570199 | Neurology Practice Group, Pllc | Clinic/Center | 2711 Ferndale Street, Houston, TX 77098 | 2019-07-19 |
| 1881152965 | Bear Creek Medical Center, Inc. | Clinic/Center | 4521 Highway 6 N Ste C, Houston, TX 77084-3479 | 2019-03-07 |
| 1710443627 | Total Life of Houston, LLC Dba J Flowers Health Institute | Clinic/Center | 1750 Sky Lark Ln Unit 2918, Houston, TX 77056-3747 | 2019-02-15 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1205326022 | Abacus Ime LLC | Clinic/Center | 1240 Blalock Rd Ste 190, Houston, TX 77055-6451 | 2018-05-17 |
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1336650860 | Fast Recovery Healthcare Center LLC | Clinic/Center | 6260 Westpark Dr Ste 300h, Houston, TX 77057-7353 | 2017-10-24 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on REVIVE F W.
| 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.