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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

REVIVE ASSISTED LIVING LLC
NPI 1659278919
Assisted Living Facility in Saint Paul, MN

Active since October 21, 2026
1641 CONWAY ST, SAINT PAUL, MN 55106(651) 399-1805(651) 317-6997 Get Directions Write a Review

NPPES record added: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Revive Assisted Living Llc NPPES

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

REVIVE ASSISTED LIVING LLC (NPI 1659278919) is a healthcare organization registered as an assisted living facility in Saint Paul, Minnesota and active in the NPI registry since October 2026. The organization lists Alewya Ismail Ibrahim, Owner, as its authorized official.

NPPES Registry Identity

NPI1659278919
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameREVIVE ASSISTED LIVING LLC
Location Address1641 CONWAY STSaint Paul, MN 55106-5925
Mailing Address1641 Conway StSaint Paul, MN 55106-5925 · (651) 399-1805 · Fax (651) 317-6997
Phone(651) 399-1805
Fax(651) 317-6997
Organization SubpartNo
Authorized OfficialAlewya Ismail IbrahimOwner · (651) 399-1805
Enumeration DateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1659278919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1641 CONWAY ST, Saint Paul, MN 55106
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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 Assisted Living LLC's NPI number?

The NPI number for Revive Assisted Living LLC is 1659278919. It was assigned to this organization in the NPPES registry on October 21, 2026.

Where is Revive Assisted Living LLC located?

Revive Assisted Living LLC is located at 1641 Conway St, Saint Paul, MN 55106. The listed phone number is (651) 399-1805.

What is Revive Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Revive Assisted Living LLC was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.