Organization Active NPI

River Valley Riders

  • Respite Care
  • Afton, MN
National Provider Identifier
1003561689
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.