NEW REVIVE HOUSE, LLC; NPI #1568053734

Contact Information

NEW REVIVE HOUSE, LLC

44263 W. MCCLELLAND DRIVE
MARICOPA, AZ 85138

Phone: 623-264-5400
Fax: 623-264-5700
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for NEW REVIVE HOUSE, LLC

NPI Number	`1568053734`
LBN Legal business name	NEW REVIVE HOUSE, LLC
Authorized official	LUAMART LEWIS - (PROGRAM ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/01/2021
Last updated	02/01/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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NEW REVIVE HOUSE, LLC

Contact Information

Specialty

Substance Abuse Disorder Rehabilitation Facility

NPI Profile & details for NEW REVIVE HOUSE, LLC

Reviews for NEW REVIVE HOUSE, LLC