Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revive Health Center of Utah LLC

Organization Licensed Practical Nurse · NPI 1184042236

Revive Health Center of Utah LLC provides Licensed Practical Nurse services in Layton, Utah. Licensed in Utah. Registered with an NPI since 2014.

Licensed in
UT
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3080 N Fairfield Rd Ste 1
Layton, UT 84041-8694 Not confirmed with CMS for 12 years — call before visiting
Phone: (801) 820-6585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 1851542872 (UT)

Record details

NPI number1184042236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Tippetts — Administrator · (801) 820-6585
NPI enumeratedApril 4, 2014
Last updated in NPPESApril 4, 2014
Mailing address3080 N Fairfield Rd, Suite 1, Layton, UT 84041-8694

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