Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REVIVE HEALTH PRIMARY & URGENT CARE LLC
NPI 1336004530
Nurse Practitioner - Primary Care in Elyria, OH

Q: What is Revive Health Primary & Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since December 19, 2025

401 CLEVELAND ST, ELYRIA, OH 44035(440) 309-3823 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2026, May 1, 2026, Apr 24, 2026 and 1 more (4 updates tracked since 2025).

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About Revive Health Primary & Urgent Care Llc NPPES

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

REVIVE HEALTH PRIMARY & URGENT CARE LLC (NPI 1336004530) is a healthcare organization registered as a primary care in Elyria, Ohio and active in the NPI registry since December 2025. The organization lists Candace Lee Bolarinwa, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1336004530

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameREVIVE HEALTH PRIMARY & URGENT CARE LLC

Location Address401 CLEVELAND STElyria, OH 44035-6143

Mailing Address401 Cleveland StElyria, OH 44035-6143 · (440) 387-4409 · Fax (440) 387-4427

Phone(440) 309-3823

Organization SubpartNo

Authorized OfficialCandace Lee BolarinwaOwner/ceo · (440) 309-3823

Enumeration DateDecember 19, 2025

Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1336004530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

401 CLEVELAND ST, Elyria, OH 44035

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

GARFIELD LOWCOST PHARMACY LLC

Pharmacy (Community/Retail Pharmacy)

401 CLEVELAND ST
ELYRIA, OH 44035

Lorain County (440) 309-4036

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 Primary & Urgent Care LLC's NPI number?

The NPI number for Revive Health Primary & Urgent Care LLC is 1336004530. It was assigned to this organization in the NPPES registry on December 19, 2025.

Where is Revive Health Primary & Urgent Care LLC located?

Revive Health Primary & Urgent Care LLC is located at 401 Cleveland St, Elyria, OH 44035. The listed phone number is (440) 309-3823.

What is Revive Health Primary & Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Revive Health Primary & Urgent Care LLC was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.