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REVIVE WELLNESS CENTER INC
NPI 1235939612
Clinic/Center - Recovery Care in Minneapolis, MN

Active since March 15, 2025
2704 14TH AVE S, MINNEAPOLIS, MN 55407(612) 987-2990(612) 987-2990 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Wellness Center Inc NPPES

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

REVIVE WELLNESS CENTER INC (NPI 1235939612) is a healthcare organization registered as a recovery care in Minneapolis, Minnesota and active in the NPI registry since March 2025. The organization lists Anwar Mustafa Abukar, President, as its authorized official.

NPPES Registry Identity

NPI1235939612
Entity TypeOrganization
Primary Taxonomy261QR0800X
Legal Business NameREVIVE WELLNESS CENTER INC
Location Address2704 14TH AVE SMinneapolis, MN 55407-1127
Mailing Address2704 14th Ave SMinneapolis, MN 55407-1127 · (612) 987-2990 · Fax (612) 987-2990
Phone(612) 987-2990
Fax(612) 987-2990
Organization SubpartNo
Authorized OfficialAnwar Mustafa AbukarPresident · (612) 707-6834
Enumeration DateMarch 15, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1235939612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Recovery CareAmbulatory Health Care Facilities
Taxonomy Code261QR0800X
2704 14TH AVE S, Minneapolis, MN 55407
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIME HEALING INC
Clinic/Center
2704 14TH AVE S
MINNEAPOLIS, MN 55407
Hennepin County (612) 426-9982

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 Revive Wellness Center Inc's NPI number?

The NPI number for Revive Wellness Center Inc is 1235939612. It was assigned to this organization in the NPPES registry on March 15, 2025.

Where is Revive Wellness Center Inc located?

Revive Wellness Center Inc is located at 2704 14th Ave S, Minneapolis, MN 55407. The listed phone number is (612) 987-2990.

What is Revive Wellness Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Recovery Care, with taxonomy code 261QR0800X.

When was this NPI record last updated?

The NPPES record for Revive Wellness Center Inc was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.