Revitalize Support Services, LLC
NPI 1134081862 · Community/Behavioral Health Agency · Baltimore, MD
Revitalize Support Services, LLC is a Community/Behavioral Health Agency organization in Baltimore, MD (NPI 1134081862).
Provider details
- NPI number
- 1134081862
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Irenerenette Ellis, Owner/Administrator/President/Ceo(443) 619-1222
Specialties & taxonomies
Agencies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Registry dates
- Enumerated
- 2025-12-01
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Frequently asked questions
- What is Revitalize Support Services, LLC's NPI number?
- Revitalize Support Services, LLC's National Provider Identifier (NPI) is 1134081862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Support Services, LLC?
- Revitalize Support Services, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Revitalize Support Services, LLC located?
- Revitalize Support Services, LLC's practice location on file with NPPES is 4606 Moravia Run Way, Baltimore, MD 21206-3582.
- What is Revitalize Support Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Support Services, LLC is (443) 619-1222.
- Who is the authorized official for Revitalize Support Services, LLC?
- The authorized official listed on Revitalize Support Services, LLC's NPPES record is Irenerenette Ellis, Owner/Administrator/President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Support Services, LLC's NPI active?
- Yes — Revitalize Support Services, LLC's NPI (1134081862) is active in the NPPES registry as of the last update on 2025-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.