Organization · Type 2 NPI

Revive Assisted Living LLC

Assisted Living Facility · St. Paul, MN

NPI number 1659278919 Active

Practice location

1641 Conway St
St. Paul, MN 55106-5925

Call (651) 399-1805 Map

Fax (651) 317-6997

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: 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.

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About NPI 1659278919

Revive Assisted Living LLC's National Provider Identifier is 1659278919, issued on Oct 21, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in St. Paul, MN. The record was last updated on Oct 21, 2026.