NPI 1740981877 · live from the CMS NPI Registry
Revitalized LLC
Home Infusion in Wakefield, RI. National Provider Identifier 1740981877, active.
NPI record
| NPI | 1740981877 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Infusion 251F00000X |
| Practice location | 231 Old Tower Hill Rd Ste 202, Wakefield, RI 02879 |
| Practice phone | 401-773-9994 |
| Enumerated | March 15, 2023 |
| Last updated | March 15, 2023 |
| Authorized official | Nathanael Farrelly, President |
| Other names | Revitalized Specialty Infusion Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | — |
| Home Infusion primary | 251F00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.