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REVIVED SENIOR LIVING
NPI 1811631336
Custodial Care Facility - Adult Care Home in Mint Hill, NC

Active since April 21, 2022
7020 WILSON GROVE RD, MINT HILL, NC 28227(704) 361-4187 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Revived Senior Living NPPES

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

REVIVED SENIOR LIVING (NPI 1811631336) is a healthcare organization registered as an adult care home in Mint Hill, North Carolina and active in the NPI registry since April 2022. The organization lists Daniel Iwuji, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811631336
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameREVIVED SENIOR LIVING
Location Address7020 WILSON GROVE RDMint Hill, NC 28227-4352
Mailing Address7020 Wilson Grove RdMint Hill, NC 28227-4352 · (704) 361-4187
Phone(704) 361-4187
Organization SubpartNo
Authorized OfficialDaniel IwujiAdministrator · (704) 361-4187
Enumeration DateApril 21, 2022
NPPES CertifiedApril 21, 2022
✔ NPI 1811631336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
7020 WILSON GROVE RD, Mint Hill, NC 28227
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Other Identifiers 1

Medicaid1235885203NC

Other Providers at the Same Location NPPES 2

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

ALIVE HOME CARE LLC
In Home Supportive Care
7020 WILSON GROVE RD
MINT HILL, NC 28227
Mecklenburg County (704) 361-4187
DANIEL IWUJI
In Home Supportive Care
7020 WILSON GROVE RD
MINT HILL, NC 28227
Mecklenburg County (919) 264-6848

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 Revived Senior Living's NPI number?

The NPI number for Revived Senior Living is 1811631336. It was assigned to this organization in the NPPES registry on April 21, 2022.

Where is Revived Senior Living located?

Revived Senior Living is located at 7020 Wilson Grove Rd, Mint Hill, NC 28227. The listed phone number is (704) 361-4187.

What is Revived Senior Living's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Revived Senior Living was last updated on April 21, 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.