Revival Housing Llc

LBN: Revival Housing Llc
Revival Housing Llc is an health care organization with primary practice located at 140 Belvidere St W , West St Paul MN 55118-5717. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Revival Housing Llc can be contacted via phone (952) 239-6790, or through Tan, Lawrence via phone (651) 338-8512.

Contact Information

Primary practice address
140 Belvidere St W West St Paul MN 55118-5717
Phone: (952) 239-6790
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tan, Lawrence
Phone: (651) 338-8512

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1841144912
LBN Legal business name Revival Housing Llc
DBA Doing business as
Authorized official Tan, Lawrence
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2026
Last updated Feb 24th, 2026 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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