MEDICARE: REVCURE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1235087511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REVCURE LLC

Provider Business Mailing Address
First Line	:	PO BOX 401477
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89140-1477
Country	:	US
Telephone Number	:	888-683-2584
Fax Number	:	888-683-2567

Provider Business Practice Location Address
First Line	:	10845 GRIFFITH PEAK DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1553
Country	:	US
Telephone Number	:	702-522-1837
Fax Number	:	888-683-2567

Authorized Official
Title or Position	:	CEO
Name	:	KANDY MORRIS
Credential	:
Telephone Number	:	888-683-2584

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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