REVIVIFY MEDICAL SUPPLY LLC
NPI 1306686274
Durable Medical Equipment & Medical Supplies in Stockbridge, GA

Active since May 29, 2024
3200 N HENRY BLVD STE C, STOCKBRIDGE, GA 30281(504) 612-4202 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revivify Medical Supply Llc NPPES

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

REVIVIFY MEDICAL SUPPLY LLC (NPI 1306686274) is a healthcare organization registered as a durable medical equipment & medical supplies in Stockbridge, Georgia and active in the NPI registry since May 2024. The organization lists Kristina Adah, Owner, as its authorized official.

NPPES Registry Identity

NPI1306686274
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameREVIVIFY MEDICAL SUPPLY LLC
Location Address3200 N HENRY BLVD STE CStockbridge, GA 30281-4666
Mailing Address3200 N Henry Blvd Ste CStockbridge, GA 30281-4666 · (504) 612-4202
Organization SubpartNo
Authorized OfficialKristina AdahOwner · (504) 612-4202
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
NPI 1306686274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
3200 N HENRY BLVD STE C, Stockbridge, GA 30281

Other Providers at the Same Location NPPES

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

Home Health
3200 N HENRY BLVD STE C
STOCKBRIDGE, GA 30281

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 Revivify Medical Supply LLC's NPI number?

The NPI number for Revivify Medical Supply LLC is 1306686274. It was assigned to this organization in the NPPES registry on May 29, 2024.

Where is Revivify Medical Supply LLC located?

Revivify Medical Supply LLC is located at 3200 N Henry Blvd Ste C, Stockbridge, GA 30281. The listed phone number is (504) 612-4202.

What is Revivify Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Revivify Medical Supply LLC was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.