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Revive Reno LLC

NPI 1346901311ActiveOrganization· Skilled Nursing Facility· Reno, NV

Skilled Nursing Facility in Reno, Nevada, registered in NPPES in January 2022. The authorized official on file is Zachary Gray, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1346901311
StatusActive
Entity typeOrganization
NPI issuedJan 3, 2022
Last updated in NPPESFeb 24, 2025
Certified by providerFeb 19, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (NV)

Medicare sources and data years

Other Skilled Nursing Facility providers in Reno

All Skilled Nursing Facility providers in Nevada →