# REVIVE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780443721
- **Authorized official:** MOHAMED HUSSEIN (OWNER)
- **Authorized official phone:** (612) 271-6983

## Contact information

- **Practice address:** 849 W 80TH ST STE 2, BLOOMINGTON, MN 55420-1027
- **Practice address phone:** (612) 271-6983
- **Mailing address:** 849 W 80TH ST STE 2, BLOOMINGTON, MN 55420-1027
- **Mailing address phone:** (612) 271-6983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2024
- **Last updated:** 11/11/2025