REVIVE RECOVERY CENTER LLC
NPI 1851007272
Clinic/Center - Rehabilitation, Substance Use Disorder in Mesa, AZ

Active since January 30, 2023
127 W JUANITA AVE STE 110, MESA, AZ 85210(424) 212-9052 Get Directions Write a Review

NPPES record last updated: April 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Recovery Center Llc NPPES

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

REVIVE RECOVERY CENTER LLC (NPI 1851007272) is a healthcare organization registered as a rehabilitation, substance use disorder in Mesa, Arizona and active in the NPI registry since January 2023. The organization lists Brayden Younghusband, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851007272
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameREVIVE RECOVERY CENTER LLC
Location Address127 W JUANITA AVE STE 110Mesa, AZ 85210-6114
Mailing Address127 W Juanita Ave Ste 110Mesa, AZ 85210-6114 · (480) 470-6042 · Fax (480) 674-9440
Organization SubpartNo
Authorized OfficialBrayden YounghusbandCeo · (000) 000-0000
Enumeration DateJanuary 30, 2023
Last NPPES UpdateApril 23, 2023
NPPES CertifiedApril 23, 2023
NPI 1851007272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
127 W JUANITA AVE STE 110, Mesa, AZ 85210

Accepted Insurance

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
127 W JUANITA AVE STE 110
MESA, AZ 85210

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 Recovery Center LLC's NPI number?

The NPI number for Revive Recovery Center LLC is 1851007272. It was assigned to this organization in the NPPES registry on January 30, 2023.

Where is Revive Recovery Center LLC located?

Revive Recovery Center LLC is located at 127 W Juanita Ave Ste 110, Mesa, AZ 85210. The listed phone number is (424) 212-9052.

What is Revive Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

What insurance does Revive Recovery Center LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Revive Recovery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revive Recovery Center LLC was last updated on April 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.