OrganizationActive
Revival Care LLC
NPI 1013879873 · Clinic/Center · Saint Paul, MN
Revival Care LLC is a Clinic/Center organization in Saint Paul, MN (NPI 1013879873).
Provider details
- NPI number
- 1013879873
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Stapp, Owner(952) 239-6790
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
438 Daly St
Saint Paul, MN 55102-3550
Phone: (952) 239-6790
Street-level locationGet directions
Mailing address
438 Daly St
Saint Paul, MN 55102-3550
Registry dates
- Enumerated
- 2025-12-01
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Frequently asked questions
- What is Revival Care LLC's NPI number?
- Revival Care LLC's National Provider Identifier (NPI) is 1013879873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Care LLC?
- Revival Care LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revival Care LLC located?
- Revival Care LLC's practice location on file with NPPES is 438 Daly St, Saint Paul, MN 55102-3550.
- What is Revival Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Revival Care LLC is (952) 239-6790.
- Who is the authorized official for Revival Care LLC?
- The authorized official listed on Revival Care LLC's NPPES record is Benjamin Stapp, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Care LLC's NPI active?
- Yes — Revival Care LLC's NPI (1013879873) is active in the NPPES registry as of the last update on 2025-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.