Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Life Rejuvenated Usa, LLC

Q: What type of organization is Life Rejuvenated Usa, LLC?

Life Rejuvenated Usa, LLC is registered in NPPES as a Point of Service (its primary provider taxonomy).

Point of Service in Roseville, MN · enumerated 2021 · authorized official Simon Mittal, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780251223

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Life Rejuvenated Usa, LLC

Practice address 1935 County Road B2 W Ste 74, Roseville, MN, 55113

Phone (800) 583-5290

Enumeration date Jun 4, 2021

Last updated in NPPES Jun 4, 2021

Taxonomy & classification

225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

305S00000X Point of Service Managed Care Organizations Primary

Authorized official

Name Simon Mittal

Title President

Phone (507) 363-9367

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Life Rejuvenated Usa, LLC?

Life Rejuvenated Usa, LLC is registered in NPPES as a Point of Service (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-04.