Revita Life
NPI 1225139439ActiveOrganization· Dietary Manager· Detroit, MI
Dietary Manager in Detroit, Michigan, registered in NPPES in September 2006. The authorized official on file is Andre R. Nunn, M.D., President.
Overview
| NPI | 1225139439 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietary Manager Primary | 132700000X | AN066667 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|