Active NPI
River Valley Riders
- Respite Care
- Afton, MN
National Provider Identifier
1003561689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- RIVER VALLEY RIDERS
- Practice address
- 2007 Neal Ave S
Afton, MN 55001-9764 - Phone
- (651) 439-2558
- NPI assigned
- Feb 13, 2022
- Last updated
- Apr 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Jo Hanson
- Title
- Cfo
- Phone
- (651) 439-2558
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Respite Care | 385H00000X | Primary | ||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
2007 Neal Ave S
Afton, MN 55001-9764
Mailing address
8362 Tamarack VLG Ste 119-440
Saint Paul, MN 55125-3392
Phone (651) 439-2558
Other practice location 1
1221 130th Ave
New Richmond, WI 54017-6686
Phone (651) 439-2558
Other names 1
- River Valley Therapeutic Riding
National Provider Directory
National Provider DirectoryLocations
8362 Tamarack Vlg
Ste 119440
Saint Paul, MN 55125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648771200000",
"number": "1003561689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8362 TAMARACK VLG STE 119-440",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551253392",
"telephone_number": "651-439-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 NEAL AVE S",
"city": "AFTON",
"state": "MN",
"postal_code": "550019764",
"telephone_number": "651-439-2558"
}
],
"practiceLocations": [
{
"address_1": "1221 130th Ave",
"address_purpose": "LOCATION",
"city": "New Richmond",
"state": "WI",
"postal_code": "540176686",
"country_code": "US",
"telephone_number": "651-439-2558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RIVER VALLEY RIDERS",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-13",
"last_updated": "2022-04-01",
"certification_date": "2022-03-31",
"status": "A",
"authorized_official_last_name": "HANSON",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "651-439-2558"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "River Valley Therapeutic Riding",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "River Valley Therapeutic Riding",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Afton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.