OrganizationActive
Revive Community Services
NPI 1548086440 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE
Provider details
- NPI number
- 1548086440
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jlynn Hartzell, Ceo(402) 320-3057
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(55/100 index)
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
18930 Grover St
Omaha, NE 68130-6089
Phone: (402) 320-3057
Street-level locationGet directions
Mailing address
18930 Grover St
Omaha, NE 68130-6089
Registry dates
- Enumerated
- 2024-11-25
- Last updated
- 2025-07-12
- Certified
- 2025-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.