REVIVE COMMUNITY SERVICES
NPI 1548086440
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Omaha, NE

NPI Status: Active since November 25, 2024

Contact Information

12020 SHAMROCK PLZ STE 200
OMAHA, NE
ZIP 68154
Phone: (866) 426-1788

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About REVIVE COMMUNITY SERVICES

This page provides the complete NPI Profile along with additional information for Revive Community Services, a provider established in Omaha, Nebraska operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1548086440 assigned on November 2024. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is Jlynn Darae Hartzell (Ceo)

NPI
1548086440
Provider Name
REVIVE COMMUNITY SERVICES
Entity Type
Organization
Location Address
12020 SHAMROCK PLZ STE 200 OMAHA, NE 68154
Location Phone
(866) 426-1788
Mailing Address
12020 SHAMROCK PLZ STE 200 OMAHA, NE 68154
Mailing Phone
(866) 426-1788
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-25-2024
Last Update Date
06-17-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JLYNN DARAE HARTZELL

Authorized Official Title
CEO
Authorized Official Phone
(402) 320-3057

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1548086440, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 0 → 0 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 8 + 8 + 0 + 8 + 1 + 2 + 4 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1548086440.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Adolescent and Children Mental Health)
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Counselor (Mental Health)
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Counselor (Mental Health)
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Counselor (Mental Health)
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Counselor (Addiction (Substance Use Disorder))
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Counselor (Addiction (Substance Use Disorder))
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Social Worker (Clinical)
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Counselor (Mental Health)
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Psychiatry & Neurology (Psychiatry)
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Dietitian, Registered
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Clinic/Center (Adult Mental Health)
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Nurse Practitioner (Psychiatric/Mental Health)
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Clinic/Center
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Counselor
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Behavior Analyst
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Home Health
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Specialist/Technologist, Other
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Behavior Analyst
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Dentist (General Practice)
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Behavior Analyst
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548086440, enumerated as an "organization" on November 25, 2024.

The provider is located at 12020 SHAMROCK PLZ STE 200 OMAHA, NE 68154 and the phone number is (866) 426-1788.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.