REVIVE HYDRATION AND FUNCTIONAL HEALTH LLC
REVIVE HYDRATION AND FUNCTIONAL HEALTH LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1558128314, based in Douglas, GA. The organization lists 2 taxonomy classifications, with Medical Specialty Clinic/Center recorded as primary.
Getting there
The practice address on file is 1150 WARD STREET EXT W STE B1, Douglas, GA 31533. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Medical Specialty covers
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NUCC Health Care Provider Taxonomy, code 261QM2500X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QM2500X | Medical Specialty Clinic/Center Medical Specialty | — | — | primary |
| 261QI0500X | Infusion Therapy Clinic/Center Infusion Therapy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1558128314 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 28, 2024 |
| Last updated | Feb 28, 2024 |
| Status | Active |
| Practice address |
1150 WARD STREET EXT W STE B1 Douglas, GA 31533 (912) 720-5450 Fax (866) 611-2696 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 5 | 8 | 1 | 2 | 8 | 3 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 1 | 8 | 2 | 2 | 7 | 3 | 2 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.