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REVIVE RECOVERY CENTER LLC
NPI 1902771777
Substance Abuse Rehabilitation Facility in Mesa, AZ

Active since October 09, 2025
2654 S VINCENT, MESA, AZ 85209(480) 470-6042 Get Directions Write a Review

NPPES record last updated: October 9, 2025. 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 1902771777) is a healthcare organization registered as a substance abuse rehabilitation facility in Mesa, Arizona and active in the NPI registry since October 2025. The organization lists Brayden Younghusband, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902771777
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameREVIVE RECOVERY CENTER LLC
Location Address2654 S VINCENTMesa, AZ 85209-2486
Mailing Address127 W Juanita Ave Ste 110Mesa, AZ 85210-6114 · (480) 470-6042
Phone(480) 470-6042
Organization SubpartNo
Authorized OfficialBrayden YounghusbandCeo · (480) 470-6042
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1902771777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2654 S VINCENT, Mesa, AZ 85209
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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 Recovery Center LLC's NPI number?

The NPI number for Revive Recovery Center LLC is 1902771777. It was assigned to this organization in the NPPES registry on October 9, 2025.

Where is Revive Recovery Center LLC located?

Revive Recovery Center LLC is located at 2654 S Vincent, Mesa, AZ 85209. The listed phone number is (480) 470-6042.

What is Revive Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Revive Recovery Center LLC was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.