Reva Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REVA HEALTH LLC

Practice address

701 Decatur Ave N Ste 206
Golden Valley, MN 55427-4375

Phone

(612) 440-1674

NPI assigned

Jan 2, 2023

Organization subpart

No

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

Authorized official

Name

Salman Elmi

Title

Owner

Phone

(612) 385-3207

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1518670827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DECATUR AVE N STE 206",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DECATUR AVE N STE 206",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274375",
            "telephone_number": "612-440-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "ELMI",
        "authorized_official_first_name": "SALMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-385-3207"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.