Revitalife Wellness Center, LLC
NPI 1215794169ActiveOrganization· General Practice· Washington Court House, OH
General Practice in Washington Court House, Ohio, registered in NPPES in March 2024. The authorized official on file is Emily Latona, Co-Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215794169 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2024 |
| Last updated in NPPES | Mar 7, 2025 |
| Certified by provider | Mar 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Chiropractor | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
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