REVIVE HEALTH CENTER OF UTAH LLC
NPI 1184042236
Licensed Practical Nurse in Layton, UT

Q: What is Revive Health Center Of Utah LLC's NPI number?

The NPI number for Revive Health Center Of Utah LLC is 1184042236. It was assigned to this organization in the NPPES registry on April 4, 2014.

Q: What is Revive Health Center Of Utah LLC's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since April 04, 2014

3080 N FAIRFIELD RD, SUITE 1, LAYTON, UT 84041(801) 820-6585 Get Directions Write a Review

NPPES record last updated: April 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Revive Health Center Of Utah Llc NPPES

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

REVIVE HEALTH CENTER OF UTAH LLC (NPI 1184042236) is a healthcare organization registered as a licensed practical nurse in Layton, Utah and active in the NPI registry since April 2014. The organization lists Jacob Tippetts, Administrator, as its authorized official.

NPPES Registry Identity

NPI1184042236

Entity TypeOrganization

Primary Taxonomy164W00000X

Legal Business NameREVIVE HEALTH CENTER OF UTAH LLC

Location Address3080 N FAIRFIELD RD, SUITE 1Layton, UT 84041-8694

Mailing Address3080 N Fairfield Rd, Suite 1Layton, UT 84041-8694 · (801) 820-6585

Phone(801) 820-6585

Organization SubpartNo

Authorized OfficialJacob TippettsAdministrator · (801) 820-6585

Enumeration DateApril 4, 2014

✔ NPI 1184042236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in UT · 1851542872

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3080 N FAIRFIELD RD, Layton, UT 84041

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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

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 Center Of Utah LLC's NPI number?

The NPI number for Revive Health Center Of Utah LLC is 1184042236. It was assigned to this organization in the NPPES registry on April 4, 2014.

Where is Revive Health Center Of Utah LLC located?

Revive Health Center Of Utah LLC is located at 3080 N Fairfield Rd Suite 1, Layton, UT 84041. The listed phone number is (801) 820-6585.

What is Revive Health Center Of Utah LLC's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Revive Health Center Of Utah LLC was last updated on April 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.