Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Health Primary & Urgent Care LLC

Organization Primary Care Nurse Practitioner · NPI 1336004530

Revive Health Primary & Urgent Care LLC is a Primary Care Nurse Practitioner in Elyria, Ohio. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

401 Cleveland St
Elyria, OH 44035-6143
Phone: (440) 309-3823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1336004530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Candace Bolarinwa — Owner/Ceo · (440) 309-3823
NPI enumeratedDecember 19, 2025
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address401 Cleveland St, Elyria, OH 44035-6143