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Revive Nonprofit — NPI 1548059470, Blue Ash, OH | NPI Central

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NPI 1548059470

OrganizationActive

Revive Nonprofit

NPI 1548059470 · Health Maintenance Organization · Blue Ash, OH

Provider details

NPI number: 1548059470
Entity type: Organization
Primary specialty: Health Maintenance OrganizationManaged Care Organizations
Organization subpart: No
Authorized official: Sanaa Irby, Nurse Practitioner(513) 549-1846

Specialties & taxonomies

Health Maintenance OrganizationPrimary302R00000X
Managed Care Organizations
Case Management Agency251B00000X
Agencies

Practice location

11427 Reed Hartman Hwy

Blue Ash, OH 45241-2418

Phone: (513) 549-1846

Approximate (ZIP-level) locationGet directions

More OH providers

Mailing address

11427 Reed Hartman Hwy

Blue Ash, OH 45241-2418

Other names (DBA / former)

Doing business as: Revive

Registry dates

Enumerated: 2025-05-06
Last updated: 2025-05-06
Certified: 2025-05-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.