Life Rejuvenated USA, LLC
NPI 1780251223 · Point of Service · Roseville, MN
Life Rejuvenated USA, LLC is a Point of Service organization in Roseville, MN (NPI 1780251223).
Provider details
- NPI number
- 1780251223
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Simon Mittal, President(507) 363-9367
Specialties & taxonomies
Managed Care Organizations
- Rehabilitation Practitioner225400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Other names (DBA / former)
- Doing business as
- Life Rejuvenated
Registry dates
- Enumerated
- 2021-06-04
- Last updated
- 2021-06-04
- Certified
- 2021-06-04
Frequently asked questions
- What is Life Rejuvenated USA, LLC's NPI number?
- Life Rejuvenated USA, LLC's National Provider Identifier (NPI) is 1780251223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Rejuvenated USA, LLC?
- Life Rejuvenated USA, LLC is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Life Rejuvenated USA, LLC located?
- Life Rejuvenated USA, LLC's practice location on file with NPPES is 1935 County Road B2 W Ste 74, Roseville, MN 55113-2722.
- What is Life Rejuvenated USA, LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Rejuvenated USA, LLC is (800) 583-5290.
- Who is the authorized official for Life Rejuvenated USA, LLC?
- The authorized official listed on Life Rejuvenated USA, LLC's NPPES record is Simon Mittal, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Rejuvenated USA, LLC's NPI active?
- Yes — Life Rejuvenated USA, LLC's NPI (1780251223) is active in the NPPES registry as of the last update on 2021-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.