Revolutionary Services LLC
NPI 1598092082 · Multi-Specialty Clinic/Center · Fort Mohave, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revolutionary Services LLC is a Multi-Specialty Clinic/Center organization in Fort Mohave, AZ (NPI 1598092082).
Provider details
- NPI number
- 1598092082
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Allen Stout, Manager(928) 768-2811
- License
- 7353 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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)
- Doing business as
- Stout Wellness Center
Registry dates
- Enumerated
- 2009-11-04
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Frequently asked questions
- What is Revolutionary Services LLC's NPI number?
- Revolutionary Services LLC's National Provider Identifier (NPI) is 1598092082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revolutionary Services LLC?
- Revolutionary Services LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revolutionary Services LLC located?
- Revolutionary Services LLC's practice location on file with NPPES is 5130 Hwy 95, Fort Mohave, AZ 86426-9374.
- What is Revolutionary Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Revolutionary Services LLC is (928) 768-2811.
- Does Revolutionary Services LLC accept Medicare?
- Revolutionary Services 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 Revolutionary Services LLC?
- The authorized official listed on Revolutionary Services LLC's NPPES record is Allen Stout, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revolutionary Services LLC's NPI active?
- Yes — Revolutionary Services LLC's NPI (1598092082) is active in the NPPES registry as of the last update on 2024-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.