Revive Home Infusion Therapy LLC
NPI 1265012132ActiveOrganization· Home Infusion· Winter Park, FL
Home Infusion in Winter Park, Florida, registered in NPPES in April 2021. The authorized official on file is Liliya Heretsun-Roussonicolos, Owner.
Overview
| NPI | 1265012132 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2021 |
| Last updated in NPPES | Apr 13, 2021 |
| Certified by provider | Apr 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Home Infusion Primary | 251F00000X | — | — |
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 |
|---|
Other Home Infusion providers in Winter Park
- 1164980660