Revive Sparks LLC
NPI 1881355857ActiveOrganization· Skilled Nursing Facility· Sparks, NV
Skilled Nursing Facility in Sparks, 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
| NPI | 1881355857 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2022 |
| Last updated in NPPES | Dec 28, 2022 |
| Certified by provider | Dec 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
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) | Enrolled Part A Provider - Skilled Nursing Facility (NV) |
|---|
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