Revive Wellness Group

LBN: Revive Wellness Group
Revive Wellness Group is an health care organization with primary practice located at 5401 Vanalden Ave , Tarzana CA 91356-3129. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Revive Wellness Group can be contacted via phone (818) 634-7091, or through Shahinian, Kevork via phone (818) 634-7091.

Contact Information

Primary practice address
5401 Vanalden Ave Tarzana CA 91356-3129
Phone: (818) 634-7091
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shahinian, Kevork
Phone: (818) 634-7091

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1922868827
LBN Legal business name Revive Wellness Group
DBA Doing business as
Authorized official Shahinian, Kevork
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2024
Last updated Oct 4th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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