Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Revitalized Behavioral Healthcare, LLC

Q: What is the NPI number for Revitalized Behavioral Healthcare, LLC?

The NPI for Revitalized Behavioral Healthcare, LLC is 1104453117, a Type 2 (organization) record in the CMS NPPES registry.

Community/Behavioral Health Agency in Toledo, OH · enumerated 2020 · authorized official Samantha Nance, Owner.

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

National Provider Identifier

1104453117

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Registry record

Entity type Organization (Type 2)

Legal business name Revitalized Behavioral Healthcare, LLC

Practice address 5577 Airport Hwy Ste 102, Toledo, OH, 43615

Phone (419) 214-1770

Enumeration date Mar 27, 2020

Last updated in NPPES Feb 7, 2026

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Samantha Nance

Title Owner

Phone (419) 346-5554

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Revitalized Behavioral Healthcare, LLC?

NPPES lists Samantha Nance (Owner) as the authorized official for this organization.

What is the NPI number for Revitalized Behavioral Healthcare, LLC?

The NPI for Revitalized Behavioral Healthcare, LLC is 1104453117, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Samantha Nance Social Worker · Toledo, OH NPI 1598253502 Tiffany Depp Case Manager/Care Coordinator · Toledo, OH NPI 1104382563 Revitalized Behavioral Healthcare, LLC Community/Behavioral Health Agency · Toledo, OH NPI 1013543040 Zachariah Fitzpatrick Case Manager/Care Coordinator · Toledo, OH NPI 1659963049 Maya Cogdell Addiction (Substance Use Disorder) Counselor · Toledo, OH NPI 1417541491 David Mcintyre Case Manager/Care Coordinator · Toledo, OH NPI 1225622202 Dushuan Headd Case Manager/Care Coordinator · Toledo, OH NPI 1942895305 Danielle Allen Case Manager/Care Coordinator · Toledo, OH NPI 1366024580

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-07.