OrganizationActive
Revival Housing LLC
NPI 1841144912 · Community/Behavioral Health Agency · West St Paul, MN
Revival Housing LLC is a Community/Behavioral Health Agency organization in West St Paul, MN (NPI 1841144912).
Provider details
- NPI number
- 1841144912
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lawrence Tan, Cfo(651) 338-8512
Specialties & taxonomies
Agencies
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
140 Belvidere St W
West St Paul, MN 55118-5717
Phone: (952) 239-6790
Street-level locationGet directions
Mailing address
438 Daly St
Saint Paul, MN 55102-3550
Registry dates
- Enumerated
- 2026-02-24
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Frequently asked questions
- What is Revival Housing LLC's NPI number?
- Revival Housing LLC's National Provider Identifier (NPI) is 1841144912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Housing LLC?
- Revival Housing LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Revival Housing LLC located?
- Revival Housing LLC's practice location on file with NPPES is 140 Belvidere St W, West St Paul, MN 55118-5717.
- What is Revival Housing LLC's phone number?
- The practice phone number listed in the NPPES registry for Revival Housing LLC is (952) 239-6790.
- Who is the authorized official for Revival Housing LLC?
- The authorized official listed on Revival Housing LLC's NPPES record is Lawrence Tan, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Housing LLC's NPI active?
- Yes — Revival Housing LLC's NPI (1841144912) is active in the NPPES registry as of the last update on 2026-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.