REVIVAL MENTAL HEALTH LLC
NPI 1588435325
Community Based Residential Treatment Facility, Mental Illness in Huntington Beach, CA
About Revival Mental Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVAL MENTAL HEALTH LLC (NPI 1588435325) is a healthcare organization registered as a community based residential treatment facility, mental illness in Huntington Beach, California and active in the NPI registry since January 2024. The organization lists Tyler Michaelis, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Revival Mental Health LLC's NPI number?
The NPI number for Revival Mental Health LLC is 1588435325. It was assigned to this organization in the NPPES registry on January 10, 2024.
Where is Revival Mental Health LLC located?
Revival Mental Health LLC is located at 16252 Magellan Ln, Huntington Beach, CA 92647. The listed phone number is (949) 776-9476.
What is Revival Mental Health LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
When was this NPI record last updated?
The NPPES record for Revival Mental Health LLC was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Revival Mental Health Llc · NPI 1588435325
Community Based Residential Treatment Facility, Mental Illness organization in Huntington Beach, California. Organization record, active in the CMS NPPES registry since January 10, 2024.
## Identity
- **NPI:** 1588435325 (Entity type: Organization)
- **Enumerated:** January 10, 2024
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Organization subpart:** No
- **Authorized official:** Tyler Michaelis, MANAGING MEMBER
## Practice location
- **Address:** 16252 MAGELLAN LN, Huntington Beach, CA 92647-3525
- **Phone:** (949) 776-9476
## Record status
- **NPPES last updated:** January 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1588435325) · Data from the CMS NPPES public registry.