REVIVE MINISTRIES, INC (NPI# 1376030262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376030262 |
| Entity Type | Organization |
| Organization Name | REVIVE MINISTRIES, INC |
| Practice Address |
185 Elm Tree Ln Lexington KY 40507 |
| Mailing Address |
185 Elm Tree Ln Lexington KY 40507-1924 |
| Practice Telephone | 8594699023 |
| Practice Fax Number | 8598810045 |
| Mailing Telephone | 8595768279 |
| Mailing Fax Number | 8598810045 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | MR. JEROME A TOMLIAN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8595768279 |
| Authorized Official Credential | LCSW, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BHSO | 810626 | 01 |
| KY | 710052080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063909067 | Revive Ministries, Inc | Substance Abuse Rehabilitation Facility | 111 Coconut Grove Dr, Nicholasville, KY 40356-2321 | 2018-04-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REVIVE MINISTRIES, INC. | 101 Richmond Ave, Nicholasville, KY 40356-1109 |
| Street Address |
185 ELM TREE LN |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366929077 | Melanie Dailey | Acupuncturist | 465 E High St Ste 208a, Lexington, KY 40507 | 2018-07-25 |
| 1255788089 | Milagros Velazquez | Counselor | 201 Mechanic St., Lexington, KY 40507 | 2016-05-23 |
| 1326293788 | Kim Michelle Thompson | Family Medicine | 217 Elm Tree Lane, Polk Dalton Clinic, Lexington, KY 40507 | 2008-11-25 |
| 1932389293 | Lexington Fayette County Health Department | Public Health or Welfare | 161 Bruce St, Lexington, KY 40507 | 2007-11-05 |
| 1508983800 | Sandra Ann Thomas | Pharmacist | 401 West Main Street, Hutchinson Drugstore, Lexington, KY 40507 | 2007-03-23 |
| 1508823857 | Lexington Fayette Urban Co Government | Ambulance | 219 E Third St, Lexington, KY 40507 | 2006-04-28 |
| 1194254458 | Ashley Armstrong | Social Worker | 201 Mechanic St., Lexington, KY 40507 | 2017-06-08 |
| 1003355942 | Nancy Elaine Garth | Registered Nurse | 217 Elm Tree Lane, Uk Healthcare Polk-dalton Clinic, Lexington, KY 40507 | 2017-02-13 |
| 1467901686 | Megan D Davidson | Case Manager/Care Coordinator | 201 Mechanic St, Lexington, KY 40507 | 2016-09-29 |
| 1265889919 | Laura Byerle | Social Worker | 201 Mechanic St, Lexington, KY 40507 | 2016-05-23 |
| Find all providers in zip 40507 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376084210 | Serenity Recovery Center of Dayton LLC | Substance Abuse Rehabilitation Facility | 2339 Harrodsburg Rd Apt 6, Lexington, KY 40504-3327 | 2017-03-11 |
| 1083982185 | Geraldine Baker Craddock | Substance Abuse Rehabilitation Facility | 1588 Hill Rise Dr, Lexington, KY 40504-2587 | 2011-12-05 |
| 1962627273 | Chrysalis House, Inc. | Substance Abuse Rehabilitation Facility | 1589 Hill Rise Drive, Lexington, KY 40504 | 2007-04-13 |
| 1932254042 | Path of Hope, Inc | Substance Abuse Rehabilitation Facility | 1675 E Center Street Ext, Lexington, NC 27292-1308 | 2007-01-25 |
| 1437695103 | Balanced Recovery, Inc | Substance Abuse Rehabilitation Facility | 1795 Alysheba Way, Suite 1001, Lexington, KY 40509-2280 | 2017-01-18 |
| 1861891541 | Shepherd's House Inc. | Substance Abuse Rehabilitation Facility | 635 Maxwelton Ct, Lexington, KY 40508-4012 | 2014-08-19 |
| 1609962091 | Veterans Affairs Medical Center | Substance Abuse Rehabilitation Facility | 2250 Leestown Rd, #29-1, Lexington, KY 40511-1052 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392841 | Westcare Kentucky Inc | Substance Abuse Rehabilitation Facility | 5971 Poor Bottom Road, Elkhorn City, KY 41522 | 2020-10-02 |
| 1750996971 | Robert Alexander Center, LLC | Substance Abuse Rehabilitation Facility | 130 Hope St, Mt Washington, KY 40047 | 2020-09-14 |
| 1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
| 1962037010 | New Horizons LLC | Substance Abuse Rehabilitation Facility | 308 W Dixie Ave, Elizabethtown, KY 42701-1700 | 2020-03-10 |
| 1164054284 | Neartown Inc | Substance Abuse Rehabilitation Facility | 1250 Old Soldier Creek Rd, Kirksey, KY 42054-9117 | 2020-02-06 |
| 1174153514 | Redemption Road Recovery | Substance Abuse Rehabilitation Facility | 4222 Highway 830, Gray, KY 40734-4511 | 2020-01-24 |
| 1477192607 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 2221 Central Ave, Ashland, KY 41101-7841 | 2020-01-06 |
| 1811533599 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 105-107 E Madison St., Louisa, KY 41230 | 2019-11-18 |
| 1386287837 | Kentucky Christian Recovery, LLC | Substance Abuse Rehabilitation Facility | 263 Huntsville Quality Rd Ste A, Morgantown, KY 42261-7395 | 2019-10-28 |
| 1013569755 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 502 N Lackey Ave, Louisa, KY 41230-1206 | 2019-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.