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 Council Bluffs, IA

Active since November 25, 2024
325 SCOTT ST, COUNCIL BLUFFS, IA 51503(866) 426-1788 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 21, 2026, Jul 12, 2025 (2 updates tracked since 2025).

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 Council Bluffs, Iowa 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 Address325 SCOTT STCouncil Bluffs, IA 51503-0756
Mailing Address18930 Grover StOmaha, NE 68130-6089 · (866) 426-1788
Organization SubpartNo
Authorized OfficialJlynn Darae HartzellCeo · (402) 320-3057
Enumeration DateNovember 25, 2024
Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
NPI 1548086440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
325 SCOTT ST, Council Bluffs, IA 51503

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 325 Scott St, Council Bluffs, IA 51503. 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 August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.