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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since November 25, 2024
12020 SHAMROCK PLZ STE 200, OMAHA, NE 68154(866) 426-1788 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Community Services NPPES

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

REVIVE COMMUNITY SERVICES (NPI 1548086440) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Omaha, Nebraska and active in the NPI registry since November 2024. The organization lists Jlynn Darae Hartzell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548086440
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameREVIVE COMMUNITY SERVICES
Location Address12020 SHAMROCK PLZ STE 200Omaha, NE 68154-3537
Mailing Address12020 Shamrock Plz Ste 200Omaha, NE 68154-3537 · (866) 426-1788
Phone(866) 426-1788
Organization SubpartNo
Authorized OfficialJlynn Darae HartzellCeo · (402) 320-3057
Enumeration DateNovember 25, 2024
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1548086440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
12020 SHAMROCK PLZ STE 200, Omaha, NE 68154
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Other Providers at the Same Location NPPES 20

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

EMBRACE HEALTHY AGING
Home Health
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Douglas County (402) 810-5946
RELATYV MOBILE MEDICAL LLC
Specialist/Technologist, Other
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Douglas County (830) 832-9703
MASTER IT BEHAVIOR THERAPY OF NEBRASKA
Behavior Analyst
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Douglas County (848) 223-1853
SEAIRRA MOORE
Nurse's Aide
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Douglas County (402) 212-6930
STEVEN J. RYAN, M.D., P.C.
Clinic/Center (Adolescent and Children Mental Health)
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Douglas County (402) 504-1736
HALO HOME HEALTHCARE
In Home Supportive Care
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Douglas County (402) 968-6339
BRIAN CHRISTIAN BROWN LADC
Counselor (Addiction (Substance Use Disorder))
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Douglas County (402) 953-9180
LYNNE CLURE, PH.D., LLC
Clinic/Center
12020 SHAMROCK PLZ STE 200
OMAHA, NE 68154
Douglas County (402) 625-3385

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 Community Services's NPI number?

The NPI number for Revive Community Services is 1548086440. It was assigned to this organization in the NPPES registry on November 25, 2024.

Where is Revive Community Services located?

Revive Community Services is located at 12020 Shamrock Plz Ste 200, Omaha, NE 68154. The listed phone number is (866) 426-1788.

What is Revive Community Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Revive Community Services was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.