REVITALIFE TUBS (NPI# 1598097024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598097024 |
| Entity Type | Organization |
| Organization Name | REVITALIFE TUBS |
| Practice Address |
6403 E Bend Rd Burlington KY 41005-9673 |
| Mailing Address |
Po Box 746 Burlington KY 41005-0746 |
| Practice Telephone | 8595864500 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | MR. JOHN WILMHOFF (OWNER) |
| Authorized Official Telephone | 8595864500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171WV0202X |
Contractor Specialization: Vehicle Modifications |
Other Service Providers | ||
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
| Street Address |
6403 E BEND RD |
| City | BURLINGTON |
| State | KY |
| Zip Code | 41005-9673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225585573 | Kathleen Marie Ferrara | Nurse Practitioner | Walgreens Healthcare Clinic, 1747 Patrick Drive, Burlington, KY 41005 | 2016-09-03 |
| 1356562888 | Joanna Hopper | Developmental Therapist | 3027 Tomahawk Ridge Way, Burlington, KY 41005 | 2007-05-01 |
| 1902951395 | Stacie Bollin | Case Manager/Care Coordinator | 6964 Lucia Drive, Burlington, KY 41005 | 2007-01-24 |
| 1417019068 | Ellen C Torbeck | Dentist | 2618 Burlington Pike, Burlington, KY 41005 | 2006-12-13 |
| 1982704656 | Charity Anne Barth Omosivwe | Dentist | 1821 Florence Pike Ste 2, Burlington, KY 41005 | 2006-09-23 |
| 1114967916 | Total Nutrition Therapy LLC | Dietitian, Registered | 7407 Indian Ridge Way, Burlington, KY 41005 | 2006-06-08 |
| 1235137134 | Burlington Fire Protection District | Ambulance | 6050 Firehouse Dr., Burlington, KY 41005 | 2005-07-13 |
| 1235523879 | Amanda Jo Frazier | Nurse Practitioner | 6159 1st Financial Dr, Burlington, KY 41005 | 2015-03-20 |
| 1164708327 | Total Access Physicians, P.s.c. | Family Medicine | 1838 Florence Pike, Burlington, KY 41005 | 2011-11-01 |
| 1780805341 | Elizabeth Clay | Dentist | 1820 Florence Pike, Burlington, KY 41005 | 2007-05-01 |
| Find all providers in zip 41005 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366801383 | Sheritha Bousso | Contractor | 3220 Commander Dr, #203, Louisville, KY 40220-1776 | 2016-02-18 |
| 1548559818 | Michael D Blakey | Contractor | 12021 Ancient Spring Dr, Louisville, KY 40245-1803 | 2011-04-07 |
| 1376705954 | Christina Joy Etheridge | Contractor | 127 Tara Ct, Benton, KY 42025-7513 | 2008-06-25 |
| 1194984443 | Phil James Nyderek Sr. | Contractor | 103 Ashmoore Drive, Greenup, KY 41144 | 2008-06-03 |
| 1659970788 | Chasity Lanham | Contractor | 1001 Springside Way, Louisville, KY 40223-3782 | 2020-10-20 |
| City | BURLINGTON |
| Zip Code | 41005 |
Please comment or provide details below to improve the information on REVITALIFE TUBS.
| 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.