REVITALIZE CDC NPI 1538908751

NPI Information

  • NPI: 1538908751
  • Provider Name: REVITALIZE CDC
  • Classification: Contractor - 171W00000X
  • Entity Type: Organization
  • Doing Business As: REVITALIZE CDC
  • Address: 240 CADWELL DR
    SPRINGFIELD, MA
    ZIP 01104
  • Phone: (413) 788-0014

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NPI Details

REVITALIZE CDC is a contractor in Springfield, MA. The provider is for the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status. REVITALIZE CDC NPI is 1538908751. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Revitalize Cdc.

The provider's business location address is:

240 CADWELL DR
SPRINGFIELD, MA
ZIP 01104-743
Phone: (413) 788-0014

The provider's authorized official is Rita Longe .
The authorized official title is Senior Manager and has the following contact phone number (413) 472-6850.

The enumeration date for this NPI number is 5/20/2024 and was last updated on 7/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171W00000XContractorYes
2171WH0202XContractorHome ModificationsNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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