OrganizationActive
Reva Health Autism Center LLC
NPI 1417706243 · Clinic/Center · Fridley, MN
Reva Health Autism Center LLC is a Clinic/Center organization in Fridley, MN (NPI 1417706243).
Provider details
- NPI number
- 1417706243
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrea Sampson, Owner(763) 245-3686
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES 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
880 Moore Lake Dr W
Fridley, MN 55432-6905
Phone: (763) 245-3686
Street-level locationGet directions
Mailing address
880 Moore Lake Dr W
Fridley, MN 55432-6905
Registry dates
- Enumerated
- 2024-05-14
- Last updated
- 2024-05-14
- Certified
- 2024-05-14
Frequently asked questions
- What is Reva Health Autism Center LLC's NPI number?
- Reva Health Autism Center LLC's National Provider Identifier (NPI) is 1417706243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reva Health Autism Center LLC?
- Reva Health Autism Center LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Reva Health Autism Center LLC located?
- Reva Health Autism Center LLC's practice location on file with NPPES is 880 Moore Lake Dr W, Fridley, MN 55432-6905.
- What is Reva Health Autism Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Reva Health Autism Center LLC is (763) 245-3686.
- Who is the authorized official for Reva Health Autism Center LLC?
- The authorized official listed on Reva Health Autism Center LLC's NPPES record is Andrea Sampson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reva Health Autism Center LLC's NPI active?
- Yes — Reva Health Autism Center LLC's NPI (1417706243) is active in the NPPES registry as of the last update on 2024-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.