OrganizationActive
Revamp Health Agency LLC
NPI 1104564962 · Registered Nurse · Miami, FL
Revamp Health Agency LLC is a Registered Nurse organization in Miami, FL (NPI 1104564962).
Provider details
- NPI number
- 1104564962
- Entity type
- Organization
- Primary specialty
- Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Jeannette Pena, Owner(786) 501-0206
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
5781 Sw 137th Ave
Miami, FL 33183-1103
Phone: (305) 603-9196
Street-level locationGet directions
Mailing address
10144 Sw 141st Ct
Miami, FL 33186-6807
Other names (DBA / former)
- Other name
- Revamp Health Medspa
Registry dates
- Enumerated
- 2022-05-23
- Last updated
- 2022-05-23
- Certified
- 2022-05-23
Frequently asked questions
- What is Revamp Health Agency LLC's NPI number?
- Revamp Health Agency LLC's National Provider Identifier (NPI) is 1104564962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revamp Health Agency LLC?
- Revamp Health Agency LLC is classified in the NPPES registry as Registered Nurse (Nursing Service Providers).
- Where is Revamp Health Agency LLC located?
- Revamp Health Agency LLC's practice location on file with NPPES is 5781 Sw 137th Ave, Miami, FL 33183-1103.
- What is Revamp Health Agency LLC's phone number?
- The practice phone number listed in the NPPES registry for Revamp Health Agency LLC is (305) 603-9196.
- Who is the authorized official for Revamp Health Agency LLC?
- The authorized official listed on Revamp Health Agency LLC's NPPES record is Jeannette Pena, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revamp Health Agency LLC's NPI active?
- Yes — Revamp Health Agency LLC's NPI (1104564962) is active in the NPPES registry as of the last update on 2022-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.