OrganizationActive
Revive Detox Center
NPI 1003231820 · Substance Abuse Rehabilitation Facility · Port Saint Lucie, FL
Provider details
- NPI number
- 1003231820
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Rafael Hernandez, Owner(772) 828-6992
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8489 S Federal Hwy # 1
(s. Federal Highway) Ste.16
Port Saint Lucie, FL 34952-3360
Phone: (772) 828-6992
Street-level locationGet directions
Mailing address
344 Sw Quiet Woods
Port Saint Lucie, FL 34953-8230
Registry dates
- Enumerated
- 2014-03-03
- Last updated
- 2014-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.