REVIVE STEM NPI 1821819210

NPI Information

  • NPI: 1821819210
  • Provider Name: REVIVE STEM
  • Classification: Home Infusion - 251F00000X
  • Entity Type: Organization
  • Address: 11469 N BROADLEAF HOLLOW LN
    HIGHLAND, UT
    ZIP 84003
  • Phone: (801) 550-7795

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NPI Details

REVIVE STEM is a home infusion in Highland, UT. REVIVE STEM NPI is 1821819210. The provider is registered as an organization entity type.

The provider's business location address is:

11469 N BROADLEAF HOLLOW LN
HIGHLAND, UT
ZIP 84003-632
Phone: (801) 550-7795

The provider's authorized official is Kristen Ellsworth .
The authorized official title is Owner and has the following contact phone number (801) 550-7795.

The enumeration date for this NPI number is 10/18/2024 and was last updated on 10/18/2024.

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
1251F00000XHome InfusionYes
2261QI0500XClinic/CenterInfusion TherapyNo

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

NPI Synchronization or Removal

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