Organization Active NPI

River Valley Home Care Inc

  • Home Health Agency
  • Farmington, MN
National Provider Identifier
1023014412
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
226223100MedicaidMN
59-00214OtherMEDICA
9B93RIOtherBLUE 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 Directory

Locations

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

DateEventCounterparty
Apr 30, 2021 Change of OwnershipThis provider was the seller JB Kummer Enterprises LLCCCN 248033, MN, NPI 1609453323

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

Verify at the official NPI Registry.