REVIVE DAY PROGRAM
NPI 1104601541
Custodial Care Facility - Adult Care Home in Brentwood, CA

Q: What is Revive Day Program's NPI number?

The NPI number for Revive Day Program is 1104601541. It was assigned to this organization in the NPPES registry on August 25, 2023. The provider is doing business as ReVive.

Q: What is Revive Day Program's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since August 25, 2023

2906 MESA OAK CT, BRENTWOOD, CA 94513(925) 623-6094 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Revive Day Program NPPES

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

REVIVE DAY PROGRAM (NPI 1104601541), doing business as Revive, is a healthcare organization registered as an adult care home in Brentwood, California and active in the NPI registry since August 2023. The organization lists Genevieve Dace, Owner, as its authorized official.

NPPES Registry Identity

NPI1104601541

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameREVIVE DAY PROGRAM

Location Address2906 MESA OAK CTBrentwood, CA 94513-4625

Mailing Address8368 Brentwood Blvd # CBrentwood, CA 94513-1347 · (925) 623-6094

Phone(925) 623-6094

Organization SubpartNo

Authorized OfficialGenevieve DaceOwner · (925) 623-6094

Enumeration DateAugust 25, 2023

NPPES CertifiedAugust 25, 2023

✔ NPI 1104601541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2906 MESA OAK CT, Brentwood, CA 94513

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Other Names 1

Doing Business AsRevive

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 Day Program's NPI number?

The NPI number for Revive Day Program is 1104601541. It was assigned to this organization in the NPPES registry on August 25, 2023. The provider is doing business as ReVive.

Where is Revive Day Program located?

Revive Day Program is located at 2906 Mesa Oak Ct, Brentwood, CA 94513. The listed phone number is (925) 623-6094.

What is Revive Day Program's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Revive Day Program was last updated on August 25, 2023. 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.