REVIVE WELLNESS CENTER
NPI 1417827965
Clinic/Center - Health Service in Ashland, VA

Active since November 10, 2025
12306 QUAIL OAK CT, ASHLAND, VA 23005(804) 852-2847(434) 217-1647 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Wellness Center NPPES

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

REVIVE WELLNESS CENTER (NPI 1417827965) is a healthcare organization registered as a health service in Ashland, Virginia and active in the NPI registry since November 2025. The organization lists Bessem Ojong Adeso, Director, as its authorized official.

NPPES Registry Identity

NPI1417827965
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameREVIVE WELLNESS CENTER
Location Address12306 QUAIL OAK CTAshland, VA 23005-7871
Mailing Address12306 Quail Oak CtAshland, VA 23005-7871 · (804) 852-2847 · Fax (434) 217-1647
Fax(434) 217-1647
Organization SubpartNo
Authorized OfficialBessem Ojong AdesoDirector · (804) 852-2847
Enumeration DateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
NPI 1417827965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
12306 QUAIL OAK CT, Ashland, VA 23005

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Community Health)
12306 QUAIL OAK CT
ASHLAND, VA 23005

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 Wellness Center's NPI number?

The NPI number for Revive Wellness Center is 1417827965. It was assigned to this organization in the NPPES registry on November 10, 2025.

Where is Revive Wellness Center located?

Revive Wellness Center is located at 12306 Quail Oak Ct, Ashland, VA 23005. The listed phone number is (804) 852-2847.

What is Revive Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Revive Wellness Center was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.