REVIVAL CARE LLC
NPI 1013879873
Clinic/Center in Saint Paul, MN

Active since December 01, 2025
438 DALY ST, SAINT PAUL, MN 55102(952) 239-6790 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revival Care Llc NPPES

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

REVIVAL CARE LLC (NPI 1013879873) is a healthcare organization registered as a clinic/center in Saint Paul, Minnesota and active in the NPI registry since December 2025. The organization lists Benjamin Stapp, Owner, as its authorized official.

NPPES Registry Identity

NPI1013879873
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREVIVAL CARE LLC
Location Address438 DALY STSaint Paul, MN 55102-3550
Mailing Address438 Daly StSaint Paul, MN 55102-3550 · (952) 239-6790
Organization SubpartNo
Authorized OfficialBenjamin StappOwner · (952) 239-6790
Enumeration DateDecember 1, 2025
NPPES CertifiedDecember 1, 2025
NPI 1013879873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
438 DALY ST, Saint Paul, MN 55102

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 Revival Care LLC's NPI number?

The NPI number for Revival Care LLC is 1013879873. It was assigned to this organization in the NPPES registry on December 1, 2025.

Where is Revival Care LLC located?

Revival Care LLC is located at 438 Daly St, Saint Paul, MN 55102. The listed phone number is (952) 239-6790.

What is Revival Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Revival Care LLC was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.