OrganizationActive
Revival IV and Wellness Clinic LLC
NPI 1033974878 · Clinic/Center · Shelton, CT
Revival IV and Wellness Clinic LLC is a Clinic/Center organization in Shelton, CT (NPI 1033974878).
Provider details
- NPI number
- 1033974878
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keisha Asante, Fnp(475) 314-3011
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
12 Progress Dr Ste 1d
Shelton, CT 06484-6290
Phone: (475) 314-3011
Fax: (475) 314-3011
Street-level locationGet directions
Mailing address
120 Longview Dr
Stratford, CT 06614-1398
Registry dates
- Enumerated
- 2024-02-20
- Last updated
- 2024-02-20
- Certified
- 2024-02-20
Frequently asked questions
- What is Revival IV and Wellness Clinic LLC's NPI number?
- Revival IV and Wellness Clinic LLC's National Provider Identifier (NPI) is 1033974878, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival IV and Wellness Clinic LLC?
- Revival IV and Wellness Clinic LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revival IV and Wellness Clinic LLC located?
- Revival IV and Wellness Clinic LLC's practice location on file with NPPES is 12 Progress Dr Ste 1d, Shelton, CT 06484-6290.
- What is Revival IV and Wellness Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Revival IV and Wellness Clinic LLC is (475) 314-3011.
- Who is the authorized official for Revival IV and Wellness Clinic LLC?
- The authorized official listed on Revival IV and Wellness Clinic LLC's NPPES record is Keisha Asante, Fnp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival IV and Wellness Clinic LLC's NPI active?
- Yes — Revival IV and Wellness Clinic LLC's NPI (1033974878) is active in the NPPES registry as of the last update on 2024-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.