Revival Reentry
NPI 1477340735 · Voluntary or Charitable Agency · Ukiah, CA
Revival Reentry is a Voluntary or Charitable Agency organization in Ukiah, CA (NPI 1477340735).
Provider details
- NPI number
- 1477340735
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ashley Elliott, President/Ceo(707) 376-5086
Specialties & taxonomies
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Local Education Agency (LEA)251300000X
Agencies
- Meals Provider174200000X
Other Service Providers
- Lodging Provider177F00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-04-21
- Certified
- 2025-04-21
Frequently asked questions
- What is Revival Reentry's NPI number?
- Revival Reentry's National Provider Identifier (NPI) is 1477340735, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Reentry?
- Revival Reentry is classified in the NPPES registry as Voluntary or Charitable Agency (Agencies).
- Where is Revival Reentry located?
- Revival Reentry's practice location on file with NPPES is 521 Capps Ln, Ukiah, CA 95482-7227.
- What is Revival Reentry's phone number?
- The practice phone number listed in the NPPES registry for Revival Reentry is (707) 376-5086.
- Who is the authorized official for Revival Reentry?
- The authorized official listed on Revival Reentry's NPPES record is Ashley Elliott, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Reentry's NPI active?
- Yes — Revival Reentry's NPI (1477340735) is active in the NPPES registry as of the last update on 2025-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.