REVOLVE RECOVERY, INC
NPI 1548997539
Clinic/Center - Rehabilitation, Substance Use Disorder in Marina Del Rey, CA
About Revolve Recovery, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVOLVE RECOVERY, INC (NPI 1548997539) is a healthcare organization registered as a rehabilitation, substance use disorder in Marina Del Rey, California and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Jonathan Austin, Compliance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2291652
Revolve Recovery, Inc · Marina Del Rey, CAFrequently 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 Revolve Recovery, Inc's NPI number?
The NPI number for Revolve Recovery, Inc is 1548997539. It was assigned to this organization in the NPPES registry on August 1, 2022.
Where is Revolve Recovery, Inc located?
Revolve Recovery, Inc is located at 3101 Washington Blvd, Marina Del Rey, CA 90292. The listed phone number is (323) 253-3047.
What is Revolve Recovery, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Revolve Recovery, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2291652) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Revolve Recovery, Inc was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Revolve Recovery, Inc · NPI 1548997539
Rehabilitation, Substance Use Disorder organization in Marina Del Rey, California. Organization record, active in the CMS NPPES registry since August 1, 2022.
## Identity
- **NPI:** 1548997539 (Entity type: Organization)
- **Enumerated:** August 1, 2022
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Jonathan Austin, COMPLIANCE OFFICER
## Practice location
- **Address:** 3101 WASHINGTON BLVD, Marina Del Rey, CA 90292-5571
- **Phone:** (323) 253-3047
## Record status
- **NPPES last updated:** August 1, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548997539) · Data from the CMS NPPES public registry.