Revive Hydration Spa LLC
NPI 1225627920 · Health Service Clinic/Center · Indianapolis, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Hydration Spa LLC is a Health Service Clinic/Center organization in Indianapolis, IN (NPI 1225627920).
Provider details
- NPI number
- 1225627920
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jane Archer, Owner(317) 245-7353
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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)
- Other name
- Revive Hydration Llc-S
- Doing business as
- Revive Rx
Registry dates
- Enumerated
- 2021-01-16
- Last updated
- 2025-02-04
- Certified
- 2025-02-04
Frequently asked questions
- What is Revive Hydration Spa LLC's NPI number?
- Revive Hydration Spa LLC's National Provider Identifier (NPI) is 1225627920, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Hydration Spa LLC?
- Revive Hydration Spa LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Hydration Spa LLC located?
- Revive Hydration Spa LLC's practice location on file with NPPES is 5650 S Franklin Rd Ste 300c, Indianapolis, IN 46239-8620.
- What is Revive Hydration Spa LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Hydration Spa LLC is (317) 245-7353.
- Does Revive Hydration Spa LLC accept Medicare?
- Revive Hydration Spa 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 Revive Hydration Spa LLC?
- The authorized official listed on Revive Hydration Spa LLC's NPPES record is Jane Archer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Hydration Spa LLC's NPI active?
- Yes — Revive Hydration Spa LLC's NPI (1225627920) is active in the NPPES registry as of the last update on 2025-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.