REVIVE RECOVERY CENTER LLC
NPI 1124796263
Substance Abuse Rehabilitation Facility in Mission Viejo, CA

Q: What is Revive Recovery Center LLC's NPI number?

The NPI number for Revive Recovery Center LLC is 1124796263. It was assigned to this organization in the NPPES registry on September 2, 2021.

Q: What is Revive Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since September 02, 2021

23361 MADERO STE 200, MISSION VIEJO, CA 92691(949) 467-4324 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Revive Recovery Center Llc NPPES

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

REVIVE RECOVERY CENTER LLC (NPI 1124796263) is a healthcare organization registered as a substance abuse rehabilitation facility in Mission Viejo, California and active in the NPI registry since September 2021. The organization lists Rebecca M Harris, Accountant, as its authorized official.

NPPES Registry Identity

NPI1124796263

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameREVIVE RECOVERY CENTER LLC

Location Address23361 MADERO STE 200Mission Viejo, CA 92691-7952

Mailing Address23361 Madero Ste 200Mission Viejo, CA 92691-7952

Phone(949) 467-4324

Organization SubpartNo

Authorized OfficialRebecca M HarrisAccountant · (949) 467-4324

Enumeration DateSeptember 2, 2021

NPPES CertifiedSeptember 2, 2021

✔ NPI 1124796263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

23361 MADERO STE 200, Mission Viejo, CA 92691

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Other Providers at the Same Location NPPES 3

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

JENNIFER BROMBERG

Occupational Therapist

23361 MADERO STE 200
MISSION VIEJO, CA 92691

Orange County (949) 581-8239

KATHRYN SUZANNE WILLARD M.A., SLP

Speech-Language Pathologist

23361 MADERO STE 200
MISSION VIEJO, CA 92691

Orange County (949) 581-8239

NEWPORT LANGUAGE AND SPEECH CENTERS

Speech-Language Pathologist

23361 MADERO STE 200
MISSION VIEJO, CA 92691

Orange County (949) 599-0218

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 Recovery Center LLC's NPI number?

The NPI number for Revive Recovery Center LLC is 1124796263. It was assigned to this organization in the NPPES registry on September 2, 2021.

Where is Revive Recovery Center LLC located?

Revive Recovery Center LLC is located at 23361 Madero Ste 200, Mission Viejo, CA 92691. The listed phone number is (949) 467-4324.

What is Revive Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Revive Recovery Center LLC was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.