OrganizationActive
Revive Stem
NPI 1821819210 · Home Infusion Agency · Highland, UT
Provider details
- NPI number
- 1821819210
- Entity type
- Organization
- Primary specialty
- Home Infusion AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kristen Ellsworth, Owner(801) 550-7795
Specialties & taxonomies
Agencies
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 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
11469 N Broadleaf Hollow Ln
Highland, UT 84003-5632
Phone: (801) 550-7795
Street-level locationGet directions
Mailing address
11469 N Broadleaf Hollow Ln
Highland, UT 84003-5632
Registry dates
- Enumerated
- 2024-10-18
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.