OC REVIVE
NPI 1508333477
Substance Abuse Rehabilitation Facility in Lake Forest, CA

Q: What is Orange County Revive Services, Inc.'s NPI number?

The NPI number for Orange County Revive Services, Inc. is 1508333477. It was assigned to this organization in the NPPES registry on October 30, 2018. The provider is doing business as Oc Revive.

Q: What is Orange County Revive Services, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since October 30, 2018

24432 MUIRLANDS BLVD STE 221, LAKE FOREST, CA 92630(949) 510-3358 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2019, Oct 30, 2018 (2 updates tracked since 2018).

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About Oc Revive NPPES

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

OC REVIVE (NPI 1508333477) is a healthcare organization registered as a substance abuse rehabilitation facility in Lake Forest, California and active in the NPI registry since October 2018. The organization lists Tyler Michaelis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508333477

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameORANGE COUNTY REVIVE SERVICES, INC.

Location Address24432 MUIRLANDS BLVD STE 221Lake Forest, CA 92630-3951

Mailing Address24432 Muirlands Blvd Ste 221Lake Forest, CA 92630-3951 · (949) 510-3358

Phone(949) 510-3358

Organization SubpartNo

Authorized OfficialTyler MichaelisCeo · (949) 606-4681

Enumeration DateOctober 30, 2018

Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration

✔ NPI 1508333477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

24432 MUIRLANDS BLVD STE 221, Lake Forest, CA 92630

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Other Names 1

Doing Business AsOc Revive

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 Orange County Revive Services, Inc.'s NPI number?

The NPI number for Orange County Revive Services, Inc. is 1508333477. It was assigned to this organization in the NPPES registry on October 30, 2018. The provider is doing business as Oc Revive.

Where is Orange County Revive Services, Inc. located?

Orange County Revive Services, Inc. is located at 24432 Muirlands Blvd Ste 221, Lake Forest, CA 92630. The listed phone number is (949) 510-3358.

What is Orange County Revive Services, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Orange County Revive Services, Inc. was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.