REVIVE HOME INFUSION THERAPY LLC
NPI 1265012132
Home Infusion in Winter Park, FL

Q: What is Revive Home Infusion Therapy LLC's NPI number?

The NPI number for Revive Home Infusion Therapy LLC is 1265012132. It was assigned to this organization in the NPPES registry on April 13, 2021.

Q: What is Revive Home Infusion Therapy LLC's specialty?

The primary specialty registered for this NPI is Home Infusion with taxonomy code 251F00000X.

Active since April 13, 2021

354 W FAIRBANKS AVE, WINTER PARK, FL 32789(321) 972-4243(321) 972-4214 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Revive Home Infusion Therapy Llc NPPES

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

REVIVE HOME INFUSION THERAPY LLC (NPI 1265012132) is a healthcare organization registered as a home infusion in Winter Park, Florida and active in the NPI registry since April 2021. The organization lists Liliya Heretsun-roussonicolos, Owner, as its authorized official.

NPPES Registry Identity

NPI1265012132

Entity TypeOrganization

Primary Taxonomy251F00000X

Legal Business NameREVIVE HOME INFUSION THERAPY LLC

Location Address354 W FAIRBANKS AVEWinter Park, FL 32789-5093

Mailing Address354 W Fairbanks AveWinter Park, FL 32789-5093 · (321) 972-4243 · Fax (321) 972-4214

Phone(321) 972-4243

Fax(321) 972-4214

Organization SubpartNo

Authorized OfficialLiliya Heretsun-roussonicolosOwner · (772) 207-6266

Enumeration DateApril 13, 2021

NPPES CertifiedApril 13, 2021

✔ NPI 1265012132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome InfusionAgencies

Taxonomy Code251F00000X

354 W FAIRBANKS AVE, Winter Park, FL 32789

Open in Google Maps ↗

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 Home Infusion Therapy LLC's NPI number?

The NPI number for Revive Home Infusion Therapy LLC is 1265012132. It was assigned to this organization in the NPPES registry on April 13, 2021.

Where is Revive Home Infusion Therapy LLC located?

Revive Home Infusion Therapy LLC is located at 354 W Fairbanks Ave, Winter Park, FL 32789. The listed phone number is (321) 972-4243.

What is Revive Home Infusion Therapy LLC's specialty?

The primary specialty registered for this NPI is Home Infusion with taxonomy code 251F00000X.

When was this NPI record last updated?

The NPPES record for Revive Home Infusion Therapy LLC was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.