REVITALIZE HEALTHCARE, INC
NPI 1972007128
Psychiatry & Neurology - Addiction Medicine in Paducah, KY

Q: What is Revitalize Healthcare, Inc's NPI number?

The NPI number for Revitalize Healthcare, Inc is 1972007128. It was assigned to this organization in the NPPES registry on March 22, 2018.

Q: What is Revitalize Healthcare, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Active since March 22, 2018

657 LONE OAK RD STE 2, PADUCAH, KY 42003(270) 556-1630 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Revitalize Healthcare, Inc NPPES

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

REVITALIZE HEALTHCARE, INC (NPI 1972007128) is a healthcare organization registered as an addiction medicine in Paducah, Kentucky and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Hopkinsville and lists Henry D Babenco, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972007128

Entity TypeOrganization

Primary Taxonomy2084A0401X

Legal Business NameREVITALIZE HEALTHCARE, INC

Location Address657 LONE OAK RD STE 2Paducah, KY 42003-4547

Mailing Address657 Lone Oak Rd Ste 2Paducah, KY 42003-4547 · (270) 556-1630

Phone(270) 556-1630

Organization SubpartNo

Authorized OfficialHenry D BabencoCeo · (270) 556-1630

Enumeration DateMarch 22, 2018

✔ NPI 1972007128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

657 LONE OAK RD STE 2, Paducah, KY 42003

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Secondary Practice Location 1

Location 1803A Country Club LnHopkinsville, KY 42240-1370 · Phone (270) 556-1630

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LAURIE K. BALLEW

Psychiatry & Neurology (Psychiatry)

657 LONE OAK RD STE 2
PADUCAH, KY 42003

McCracken County (270) 558-4174

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 Revitalize Healthcare, Inc's NPI number?

The NPI number for Revitalize Healthcare, Inc is 1972007128. It was assigned to this organization in the NPPES registry on March 22, 2018.

Where is Revitalize Healthcare, Inc located?

Revitalize Healthcare, Inc is located at 657 Lone Oak Rd Ste 2, Paducah, KY 42003. The listed phone number is (270) 556-1630.

What is Revitalize Healthcare, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Revitalize Healthcare, Inc was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.