Reivitalize Therapy Infusions & Health Services, LLC
NPI 1104538768 · Infusion Therapy Clinic/Center · Clarksdale, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Reivitalize Therapy Infusions & Health Services, LLC is a Infusion Therapy Clinic/Center organization in Clarksdale, MS (NPI 1104538768).
Provider details
- NPI number
- 1104538768
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anna Jones, Member(662) 351-2035
Specialties & taxonomies
Ambulatory Health Care Facilities
- Home Infusion Agency251F00000X
Agencies
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Former legal business name
- Reivitalize Therapy Center PLLC
- Doing business as
- Reivitalize Therapy Infusions
- Doing business as
- Reivitalize Therapy Infusions & Health Services
- Former legal business name
- Reivitalize Therapy Infusions, PLLC
Registry dates
- Enumerated
- 2022-12-14
- Last updated
- 2023-05-17
- Certified
- 2023-05-17
Frequently asked questions
- What is Reivitalize Therapy Infusions & Health Services, LLC's NPI number?
- Reivitalize Therapy Infusions & Health Services, LLC's National Provider Identifier (NPI) is 1104538768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reivitalize Therapy Infusions & Health Services, LLC?
- Reivitalize Therapy Infusions & Health Services, LLC is classified in the NPPES registry as Infusion Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Reivitalize Therapy Infusions & Health Services, LLC located?
- Reivitalize Therapy Infusions & Health Services, LLC's practice location on file with NPPES is 220 Sunflower Ave, Clarksdale, MS 38614-4221.
- What is Reivitalize Therapy Infusions & Health Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Reivitalize Therapy Infusions & Health Services, LLC is (662) 351-2035.
- Does Reivitalize Therapy Infusions & Health Services, LLC accept Medicare?
- Reivitalize Therapy Infusions & Health Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Reivitalize Therapy Infusions & Health Services, LLC?
- The authorized official listed on Reivitalize Therapy Infusions & Health Services, LLC's NPPES record is Anna Jones, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reivitalize Therapy Infusions & Health Services, LLC's NPI active?
- Yes — Reivitalize Therapy Infusions & Health Services, LLC's NPI (1104538768) is active in the NPPES registry as of the last update on 2023-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.