OrganizationActive
Revival Recovery Center Staffing LLC
NPI 1184398331 · Family Nurse Practitioner · Highland, MI
Provider details
- NPI number
- 1184398331
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lisa Perna, Owner, Authorized Official(248) 949-7177
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(66/100 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
2 documented practice locations
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
208 W Highland Rd Ste 102
Highland, MI 48357-4574
Phone: (833) 773-8482
Fax: (810) 775-0303
Street-level locationGet directions
Mailing address
208 W Highland Rd Ste 102
Highland, MI 48357-4574
Other names (DBA / former)
- Doing business as
- Revival Recovery Center Staffing
Additional practice locations (1)
- 5797 Felske Dr Ste 300Brighton, MI 48116-9505Phone: (833) 773-8482Fax: (810) 775-0303
Registry dates
- Enumerated
- 2021-08-02
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.