# REVIVE CARE SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REVIVE CARE SERVICES INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306700513
- **Legal business name:** REVIVE CARE SERVICES INC.
- **Authorized official:** WARSAME WARSAME (OWNER)
- **Authorized official phone:** (612) 503-9577

## Contact information

- **Practice address:** 2048 123RD LN NW, MINNEAPOLIS, MN 55448-7087
- **Practice address phone:** (612) 503-9577
- **Mailing address:** 2048 123RD LN NW, MINNEAPOLIS, MN 55448-7087
- **Mailing address phone:** (612) 503-9577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2025
- **Last updated:** 12/11/2025