# REVIVE RENO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Revive Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932053105
- **Authorized official:** SHARON AUSTIN-MOFFETT (AR DIRECTOR)
- **Authorized official phone:** (775) 828-5600

## Contact information

- **Practice address:** 3101 PLUMAS ST, RENO, NV 89509-4515
- **Practice address phone:** (775) 828-5600
- **Practice address fax:** (775) 437-5336
- **Mailing address:** 9410 PROTOTYPE DR STE 7-9, RENO, NV 89521-5902
- **Mailing address phone:** (775) 828-5600
- **Mailing address fax:** (775) 437-5336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2026
- **Last updated:** 02/24/2026