J-REVIVAL LLC
NPI 1013705698
In Home Supportive Care in Eagan, MN

Active since April 25, 2025
4391 GARDEN TRL, EAGAN, MN 55123(689) 242-0854 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About J-revival Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

J-REVIVAL LLC (NPI 1013705698) is a healthcare organization registered as an in home supportive care in Eagan, Minnesota and active in the NPI registry since April 2025. The organization lists Jewell Reichenberger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013705698
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameJ-REVIVAL LLC
Location Address4391 GARDEN TRLEagan, MN 55123-1756
Mailing Address4391 Garden TrlEagan, MN 55123-1756 · (689) 242-0854
Organization SubpartNo
Authorized OfficialJewell ReichenbergerCeo · (689) 242-0854
Enumeration DateApril 25, 2025
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
NPI 1013705698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
4391 GARDEN TRL, Eagan, MN 55123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is J-Revival LLC's NPI number?

The NPI number for J-Revival LLC is 1013705698. It was assigned to this organization in the NPPES registry on April 25, 2025.

Where is J-Revival LLC located?

J-Revival LLC is located at 4391 Garden Trl, Eagan, MN 55123. The listed phone number is (689) 242-0854.

What is J-Revival LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for J-Revival LLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.