REVITALIFE WELLNESS CENTER, LLC
NPI 1215794169
General Practice in Washington Court House, OH
About Revitalife Wellness Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVITALIFE WELLNESS CENTER, LLC (NPI 1215794169) is a healthcare organization registered as a general practice in Washington Court House, Ohio and active in the NPI registry since March 2024. The organization lists Emily Latona, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revitalife Wellness Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Revitalife Wellness Center, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Revitalife Wellness Center, LLC's NPI number?
The NPI number for Revitalife Wellness Center, LLC is 1215794169. It was assigned to this organization in the NPPES registry on March 5, 2024.
Where is Revitalife Wellness Center, LLC located?
Revitalife Wellness Center, LLC is located at 108 N Hinde St, Washington Court House, OH 43160. The listed phone number is (740) 406-1709.
What is Revitalife Wellness Center, LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Revitalife Wellness Center, LLC enrolled in Medicare?
Yes. Revitalife Wellness Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revitalife Wellness Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Revitalife Wellness Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Revitalife Wellness Center, LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Revitalife Wellness Center, Llc · NPI 1215794169
General Practice organization in Washington Court House, Ohio. Organization record, active in the CMS NPPES registry since March 5, 2024.
## Identity
- **NPI:** 1215794169 (Entity type: Organization)
- **Enumerated:** March 5, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Emily Latona, CO-OWNER
## Practice location
- **Address:** 108 N HINDE ST, Washington Court House, OH 43160-1371
- **Phone:** (740) 406-1709 · **Fax:** (740) 888-1880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215794169) · Data from the CMS NPPES public registry.