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REVIVE STEM
NPI 1821819210
Home Infusion in Highland, UT

Active since October 18, 2024
11469 N BROADLEAF HOLLOW LN, HIGHLAND, UT 84003(801) 550-7795 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Stem NPPES

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

REVIVE STEM (NPI 1821819210) is a healthcare organization registered as a home infusion in Highland, Utah and active in the NPI registry since October 2024. The organization lists Kristen Ellsworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1821819210
Entity TypeOrganization
Primary Taxonomy251F00000X
Legal Business NameREVIVE STEM
Location Address11469 N BROADLEAF HOLLOW LNHighland, UT 84003-5632
Mailing Address11469 N Broadleaf Hollow LnHighland, UT 84003-5632
Phone(801) 550-7795
Organization SubpartNo
Authorized OfficialKristen EllsworthOwner · (801) 550-7795
Enumeration DateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1821819210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome InfusionAgencies
Taxonomy Code251F00000X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
11469 N BROADLEAF HOLLOW LN, Highland, UT 84003
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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 Stem's NPI number?

The NPI number for Revive Stem is 1821819210. It was assigned to this organization in the NPPES registry on October 18, 2024.

Where is Revive Stem located?

Revive Stem is located at 11469 N Broadleaf Hollow Ln, Highland, UT 84003. The listed phone number is (801) 550-7795.

What is Revive Stem's specialty?

The primary specialty registered for this NPI is Home Infusion with taxonomy code 251F00000X.

When was this NPI record last updated?

The NPPES record for Revive Stem was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.