Revive Care Services Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REVIVE CARE SERVICES INC.

Practice address

2048 123Rd LN NW
Minneapolis, MN 55448-7087

Phone

(612) 503-9577

NPI assigned

Dec 11, 2025

Organization subpart

Yes

Parent organization

REVIVE CARE SERVICES INC.As reported in NPPES

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

Authorized official

Name

Warsame WarsameNPI 1194183368

Title

Owner

Phone

(612) 503-9577

Specialties & licenses 1

Addresses

Part of

Revive Care Services Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Warsame Warsame

  • Non-emergency Medical Transport (VAN)
  • Columbia Heights, MN
  • NPI 1194183368
  NPD Authorized official

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1306700513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 123RD LN NW",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554487087",
            "telephone_number": "612-503-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 123RD LN NW",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554487087",
            "telephone_number": "612-503-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE CARE SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REVIVE CARE SERVICES INC.",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "WARSAME",
        "authorized_official_first_name": "WARSAME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-503-9577"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reuben Lindh Family Services
• Cynthia Reuss
• Peter John Reuter, CNP
• Revelation Assessments & Counseling Services
• Revitalize Health & Wellness, LLC
• Revive Care Services Inc.
• Revive Roots, PLLC
• Revive Wellness Center Inc
• Justin K Rewertz, LCSW
• Kirsten Clark Rewey, MSW, L.I.C.S.W.

• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.