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REVIVE HEALTH LLC
NPI 1003530502
Clinical Nurse Specialist - Psychiatric/Mental Health in Laurel, MD

Active since September 28, 2022
13715 OAKLANDS MANOR DR, LAUREL, MD 20708(443) 945-8482 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE HEALTH LLC (NPI 1003530502) is a healthcare organization registered as a psychiatric/mental health in Laurel, Maryland and active in the NPI registry since September 2022. The organization lists Maria Tancho, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003530502
Entity TypeOrganization
Primary Taxonomy364SP0808X
Legal Business NameREVIVE HEALTH LLC
Location Address13715 OAKLANDS MANOR DRLaurel, MD 20708-1430
Mailing Address13715 Oaklands Manor DrLaurel, MD 20708-1430 · (443) 945-8482
Phone(443) 945-8482
Organization SubpartNo
Authorized OfficialMaria TanchoCeo · (443) 945-8482
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1003530502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
13715 OAKLANDS MANOR DR, Laurel, MD 20708
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA NEH TANCHO
Nurse Practitioner (Psychiatric/Mental Health)
13715 OAKLANDS MANOR DR
LAUREL, MD 20708
Prince George's County (240) 899-9513
R L BLISSFUL MEDICAL CLINIC, LLC
Nurse Practitioner (Psychiatric/Mental Health)
13715 OAKLANDS MANOR DR
LAUREL, MD 20708
Prince George's County (240) 899-9513

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Health LLC's NPI number?

The NPI number for Revive Health LLC is 1003530502. It was assigned to this organization in the NPPES registry on September 28, 2022.

Where is Revive Health LLC located?

Revive Health LLC is located at 13715 Oaklands Manor Dr, Laurel, MD 20708. The listed phone number is (443) 945-8482.

What is Revive Health LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

When was this NPI record last updated?

The NPPES record for Revive Health LLC was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.