Revival Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REVIVAL CARE LLC

Practice address

438 Daly St
Saint Paul, MN 55102-3550

Phone

(952) 239-6790

NPI assigned

Dec 1, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Benjamin Stapp

Title

Owner

Phone

(952) 239-6790

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1013879873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 DALY ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023550",
            "telephone_number": "952-239-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 DALY ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023550",
            "telephone_number": "952-239-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "STAPP",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-239-6790"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle M Rettner, CRNA
• Chad M Reuter, CRNA
• Virginia L Reutiman, CRNA
• Amber Reuvers, PA
• Rachel A Revier, MS CF-SLP
• Revive Couples Counseling
• Revive MD PLLC
• Reviving Therapy & Consulting LLC
• Patricio F Reyes, M.D.
• Arianna Edith Reyna-Rodriguez

• Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.