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REVIVE MEDICAL LLC
NPI 1669087045
Medical Foods Supplier in Bolivar, MO

Active since September 11, 2020
5000, S SCENIC, BOLIVAR, MO 65613(417) 777-0797 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Medical Llc NPPES

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

REVIVE MEDICAL LLC (NPI 1669087045) is a healthcare organization registered as a medical foods supplier in Bolivar, Missouri and active in the NPI registry since September 2020. The organization lists Troy Morrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1669087045
Entity TypeOrganization
Primary Taxonomy335G00000X
Legal Business NameREVIVE MEDICAL LLC
Location Address5000, S SCENICBolivar, MO 65613
Mailing Address5000, S ScenicBolivar, MO 65613 · (417) 777-0797
Phone(417) 777-0797
Organization SubpartNo
Authorized OfficialTroy MorrisonOwner · (417) 777-0797
Enumeration DateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1669087045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Foods SupplierSuppliers
Taxonomy Code335G00000X
Definition
A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies.
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X
5000, Bolivar, MO 65613
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Other Names 1

Other NameRicochet Nutrition

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 Medical LLC's NPI number?

The NPI number for Revive Medical LLC is 1669087045. It was assigned to this organization in the NPPES registry on September 11, 2020. The provider is also known as Ricochet Nutrition.

Where is Revive Medical LLC located?

Revive Medical LLC is located at 5000 S Scenic, Bolivar, MO 65613. The listed phone number is (417) 777-0797.

What is Revive Medical LLC's specialty?

The primary specialty registered for this NPI is Medical Foods Supplier with taxonomy code 335G00000X.

When was this NPI record last updated?

The NPPES record for Revive Medical LLC was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.