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Revive Home Infusion Therapy LLC

Home Infusion Agency in Winter Park, FL · enumerated 2021 · authorized official Liliya Heretsun-Roussonicolos, Owner.

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

National Provider Identifier

1265012132

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Registry record

Entity type Organization (Type 2)
Legal business name Revive Home Infusion Therapy LLC
Practice address 354 W Fairbanks Ave, Winter Park, FL, 32789
Phone (321) 972-4243
Fax (321) 972-4214
Enumeration date Apr 13, 2021
Last updated in NPPES Apr 13, 2021

Taxonomy & classification

251F00000X Home Infusion Agency Agencies Primary

Authorized official

Name Liliya Heretsun-Roussonicolos
Title Owner
Phone (772) 207-6266

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 the NPI number for Revive Home Infusion Therapy LLC?
The NPI for Revive Home Infusion Therapy LLC is 1265012132, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Revive Home Infusion Therapy LLC?
NPPES lists Liliya Heretsun-Roussonicolos (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-13.