REVIVAL REENTRY
NPI 1477340735
Voluntary or Charitable in Ukiah, CA

Q: What is Revival Reentry's NPI number?

The NPI number for Revival Reentry is 1477340735. It was assigned to this organization in the NPPES registry on April 21, 2025.

Q: What is Revival Reentry's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

Q: When was this NPI record last updated?

The NPPES record for Revival Reentry was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 21, 2025

521 CAPPS LN, UKIAH, CA 95482(707) 376-5086 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Revival Reentry NPPES

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

REVIVAL REENTRY (NPI 1477340735) is a healthcare organization registered as a voluntary or charitable in Ukiah, California and active in the NPI registry since April 2025. The organization lists Ashley Elliott, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1477340735

Entity TypeOrganization

Primary Taxonomy251V00000X

Legal Business NameREVIVAL REENTRY

Location Address521 CAPPS LNUkiah, CA 95482-7227

Mailing Address521 Capps LnUkiah, CA 95482-7227 · (707) 376-5086

Phone(707) 376-5086

Organization SubpartNo

Authorized OfficialAshley ElliottPresident/ceo · (707) 376-5086

Enumeration DateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1477340735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyVoluntary or CharitableAgencies

Taxonomy Code251V00000X

Also ListedMealsTaxonomy 174200000X

Also ListedLodgingTaxonomy 177F00000X

Also ListedLocal Education Agency (LEA)Taxonomy 251300000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

521 CAPPS LN, Ukiah, CA 95482

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Other Providers at the Same Location NPPES

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

REVIVAL TRANSPORTATION

Non-emergency Medical Transport (VAN)

521 CAPPS LN
UKIAH, CA 95482

Mendocino County (707) 376-5086

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 Revival Reentry's NPI number?

The NPI number for Revival Reentry is 1477340735. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Revival Reentry located?

Revival Reentry is located at 521 Capps Ln, Ukiah, CA 95482. The listed phone number is (707) 376-5086.

What is Revival Reentry's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

When was this NPI record last updated?

The NPPES record for Revival Reentry was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.