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REVIVE FAMILY CARE & WELLNESS LLC
NPI 1447001003
Nurse Practitioner - Family in Caddo Mills, TX

Active since April 01, 2024CLIA 45D2302893 · Waiver
3667 COUNTY ROAD 2134 STE C, CADDO MILLS, TX 75135(903) 751-5550(833) 973-3638 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2025, Apr 1, 2024 (2 updates tracked since 2024).

About Revive Family Care & Wellness Llc NPPES

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

REVIVE FAMILY CARE & WELLNESS LLC (NPI 1447001003) is a healthcare organization registered as a family in Caddo Mills, Texas and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Guiselle Ivette Berry, Owner, as its authorized official.

NPPES Registry Identity

NPI1447001003
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameREVIVE FAMILY CARE & WELLNESS LLC
Location Address3667 COUNTY ROAD 2134 STE CCaddo Mills, TX 75135-6897
Mailing Address3667 County Road 2134 Ste CCaddo Mills, TX 75135-6897 · (903) 751-5550
Phone(903) 751-5550
Fax(833) 973-3638
Organization SubpartNo
Authorized OfficialGuiselle Ivette BerryOwner · (214) 709-2522
Enumeration DateApril 1, 2024
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1447001003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
3667 COUNTY ROAD 2134 STE C, Caddo Mills, TX 75135
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2302893

Revive Family Care & Wellness · Caddo Mills, TX
Active · expires Apr 16, 2028
CLIA Number45D2302893
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorGuiselle I. Berry
Laboratory Phone(903) 751-5550
Laboratory LocationRevive Family Care & Wellness3667 Cr 2134 Suite C, Caddo Mills, TX 75135
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

GUISELLE BERRY FNP-C
Nurse Practitioner (Family)
3667 COUNTY ROAD 2134 STE C
CADDO MILLS, TX 75135
Hunt County (903) 751-5550
JENNIFER SLENCAK MSN, APRN, FNP-C
Nurse Practitioner
3667 COUNTY ROAD 2134 STE C
CADDO MILLS, TX 75135
Hunt County (903) 751-5550
MONICA BOOKER FNP
Nurse Practitioner
3667 COUNTY ROAD 2134 STE C
CADDO MILLS, TX 75135
Hunt County (903) 751-5550

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 Family Care & Wellness LLC's NPI number?

The NPI number for Revive Family Care & Wellness LLC is 1447001003. It was assigned to this organization in the NPPES registry on April 1, 2024.

Where is Revive Family Care & Wellness LLC located?

Revive Family Care & Wellness LLC is located at 3667 County Road 2134 Ste C, Caddo Mills, TX 75135. The listed phone number is (903) 751-5550.

What is Revive Family Care & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Revive Family Care & Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2302893) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Revive Family Care & Wellness LLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.