REVIVE TREATMENT CENTER INC (NPI# 1861058935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861058935 |
| Entity Type | Organization |
| Organization Name | REVIVE TREATMENT CENTER INC |
| Practice Address |
1133 E West Hwy Apt 1515w Silver Spring MD 20910-6833 |
| Mailing Address |
10125 Colesville Rd # 137 Silver Spring MD 20901-2457 |
| Practice Telephone | 3017603950 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |
| Authorized Official Name | NICHOLAS ORSO (DIRECTOR) |
| Authorized Official Telephone | 3017603950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1133 E WEST HWY APT 1515W |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20910-6833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
| 1205398054 | Maria Andrea Binger | Speech-Language Pathologist | Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 | 2019-04-02 |
| 1053882803 | Margaret A Avallone | Speech-Language Pathologist | 1515 Sharon Drive, Silver Spring, MD 20910 | 2018-12-05 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1669951927 | Camille Smith Espinoza | Social Worker | 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 | 2018-08-08 |
| 1053838615 | Grace Elaine Lozano | Behavior Technician | 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 | 2017-08-24 |
| 1417471160 | Sooin Lee | Dentist | 923 Bonifant St Unit 1, Silver Spring, MD 20910 | 2017-08-02 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| 1720530363 | Aurore Ondongo | Nurse's Aide | 8600 16th Street, Apt 909, Silver Spring, MD 20910 | 2016-10-31 |
| 1700239993 | Kelli Teresa Harkless | Advanced Practice Midwife | 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 | 2016-07-22 |
| Find all providers in zip 20910 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1780240671 | Capstone Treatment Center, Inc | General Practice | 1133 E West Hwy Apt 204e, Silver Spring, MD 20910-4804 | 2019-05-15 |
| 1689983751 | Dr. Kim T. Pang, M.d.,p.a. | General Practice | 12113 New Hampshire Ave, Silver Spring, MD 20904-2868 | 2010-10-06 |
| 1497081277 | Vincent James Roux | General Practice | 9506 Clement Rd, Silver Spring, MD 20910-1643 | 2009-10-28 |
| 1063606010 | Jane Michel Canter | General Practice | 3311 Pendleton Dr, Silver Spring, MD 20902-2426 | 2007-09-04 |
| 1871503219 | Truong Xuan Hoang | General Practice | 636 University Blvd E, Silver Spring, MD 20901-3768 | 2006-08-08 |
| 1073518155 | John Ellis Glancy IIi | General Practice | 1731 Briggs Chaney Road, Silver Spring, MD 20905-5529 | 2005-06-16 |
| 1962963348 | Complete Health Service Inc. | General Practice | 831 University Blvd E Ste 36a, Silver Spring, MD 20903-2915 | 2019-03-27 |
| 1487196366 | Robert G Greenfield | General Practice | 8121 Georgia Ave, Silver Spring, MD 20910-4933 | 2016-11-09 |
| 1790133726 | Emily Jane Woo | General Practice | 10903 New Hampshire Ave, Silver Spring, MD 20993-0002 | 2016-05-31 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20910 |
Please comment or provide details below to improve the information on REVIVE TREATMENT CENTER INC.
| 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.