OrganizationActive
Revive Medical LLC
NPI 1669087045 · Medical Foods Supplier · Bolivar, MO
Revive Medical LLC is a Medical Foods Supplier organization in Bolivar, MO (NPI 1669087045).
Provider details
- NPI number
- 1669087045
- Entity type
- Organization
- Primary specialty
- Medical Foods SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Troy Morrison, Owner(417) 777-0797
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Established profile(64/100 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
5000
S Scenic
Bolivar, MO 65613
Phone: (417) 777-0797
Approximate (ZIP-level) locationGet directions
Mailing address
5000
Bolivar, MO 65613
Other names (DBA / former)
- Other name
- Ricochet Nutrition
Registry dates
- Enumerated
- 2020-09-11
- Last updated
- 2020-09-11
- Certified
- 2020-09-11
Frequently asked questions
- What is Revive Medical LLC's NPI number?
- Revive Medical LLC's National Provider Identifier (NPI) is 1669087045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Medical LLC?
- Revive Medical LLC is classified in the NPPES registry as Medical Foods Supplier (Suppliers).
- Where is Revive Medical LLC located?
- Revive Medical LLC's practice location on file with NPPES is 5000, Bolivar, MO 65613.
- What is Revive Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Medical LLC is (417) 777-0797.
- Who is the authorized official for Revive Medical LLC?
- The authorized official listed on Revive Medical LLC's NPPES record is Troy Morrison, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Medical LLC's NPI active?
- Yes — Revive Medical LLC's NPI (1669087045) is active in the NPPES registry as of the last update on 2020-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.