OrganizationActive
Revive Home Infusion Therapy LLC
NPI 1265012132 · Home Infusion Agency · Winter Park, FL
Revive Home Infusion Therapy LLC is a Home Infusion Agency organization in Winter Park, FL (NPI 1265012132).
Provider details
- NPI number
- 1265012132
- Entity type
- Organization
- Primary specialty
- Home Infusion AgencyAgencies
- Organization subpart
- No
- Authorized official
- Liliya Heretsun-Roussonicolos, Owner(772) 207-6266
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
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
354 W Fairbanks Ave
Winter Park, FL 32789-5093
Phone: (321) 972-4243
Fax: (321) 972-4214
Street-level locationGet directions
Mailing address
354 W Fairbanks Ave
Winter Park, FL 32789-5093
Registry dates
- Enumerated
- 2021-04-13
- Last updated
- 2021-04-13
- Certified
- 2021-04-13
Frequently asked questions
- What is Revive Home Infusion Therapy LLC's NPI number?
- Revive Home Infusion Therapy LLC's National Provider Identifier (NPI) is 1265012132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Home Infusion Therapy LLC?
- Revive Home Infusion Therapy LLC is classified in the NPPES registry as Home Infusion Agency (Agencies).
- Where is Revive Home Infusion Therapy LLC located?
- Revive Home Infusion Therapy LLC's practice location on file with NPPES is 354 W Fairbanks Ave, Winter Park, FL 32789-5093.
- What is Revive Home Infusion Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Home Infusion Therapy LLC is (321) 972-4243.
- Who is the authorized official for Revive Home Infusion Therapy LLC?
- The authorized official listed on Revive Home Infusion Therapy LLC's NPPES record is Liliya Heretsun-Roussonicolos, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Home Infusion Therapy LLC's NPI active?
- Yes — Revive Home Infusion Therapy LLC's NPI (1265012132) is active in the NPPES registry as of the last update on 2021-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.