Active NPI
River Valley Home Care Inc
- Home Health Agency
- Farmington, MN
National Provider Identifier
1023014412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- RIVER VALLEY HOME CARE INC
- Practice address
- 916 8TH St
Farmington, MN 55024-1438 - Phone
- (651) 460-4201
- Fax
- (651) 460-4208
- NPI assigned
- Jun 22, 2005
- Last updated
- Apr 4, 2019
- 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
- Rachelle Pariseau
- Title
- Ceo
- Phone
- (651) 460-4201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
916 8TH St
Farmington, MN 55024-1438
Mailing address
916 8TH St
Farmington, MN 55024-1438
Phone (651) 460-4201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226223100 | Medicaid | MN | |
| 59-00214 | Other | MEDICA | |
| 9B93RI | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
5200 211th St W
Ste B
Farmington, MN 55024
Phone (651) 460-4201
916 8th St
Farmington, MN 55024
Phone (651) 460-4201
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Apr 30, 2021 | Change of Ownership | JB Kummer Enterprises LLC |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554336000000",
"number": "1023014412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 8TH ST",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "550241438",
"telephone_number": "651-460-4201",
"fax_number": "651-460-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 8TH ST",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "550241438",
"telephone_number": "651-460-4201",
"fax_number": "651-460-4208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER VALLEY HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-22",
"last_updated": "2019-04-04",
"status": "A",
"authorized_official_last_name": "PARISEAU",
"authorized_official_first_name": "RACHELLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "651-460-4201"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226223100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "59-00214",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "9B93RI",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.