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Reserevelations, LLC

Voluntary or Charitable Agency in Dayton, OH · enumerated 2022 · authorized official De'Rese Gooden, Ceo, Owner & Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083326706

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Registry record

Entity type Organization (Type 2)
Legal business name Reserevelations, LLC
Other name <Unavail>
Practice address 31 S Main St, Dayton, OH, 45402
Phone (937) 860-1038
Fax (270) 203-0587
Enumeration date Dec 14, 2022
Last updated in NPPES Jan 5, 2025

Taxonomy & classification

251B00000X Case Management Agency Agencies Secondary
251C00000X Developmentally Disabled Services Day Training Agency Agencies Secondary
251K00000X Public Health or Welfare Agency Agencies Secondary
251S00000X Community/Behavioral Health Agency Agencies Secondary
251V00000X Voluntary or Charitable Agency Agencies Primary
253Z00000X In Home Supportive Care Agency Agencies Secondary
347C00000X Private Vehicle Transportation Services Secondary
372500000X Chore Provider Nursing Service Related Providers Secondary

Authorized official

Name De'Rese Gooden
Title Ceo, Owner & Director
Phone (937) 860-1038

Other identifiers

Identifier Type State Issuer
0307155 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Reserevelations, LLC?
Reserevelations, LLC is registered in NPPES as a Voluntary or Charitable Agency (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-05.