Southview Living Center, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

331741 Issued in MN

Legal business name

SOUTHVIEW LIVING CENTER, LLC

Practice address

555 E 12TH St
Gibbon, MN 55335-3136

Phone

(507) 834-6510

Fax

(507) 834-6511

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mavis Jean Pautz, RN

Title

Owner

Phone

(507) 834-6510

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033283254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E 12TH ST",
            "city": "GIBBON",
            "state": "MN",
            "postal_code": "553353136",
            "telephone_number": "507-834-6510",
            "fax_number": "507-834-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E 12TH ST",
            "city": "GIBBON",
            "state": "MN",
            "postal_code": "553353136",
            "telephone_number": "507-834-6510",
            "fax_number": "507-834-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHVIEW LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAUTZ",
        "authorized_official_first_name": "MAVIS",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-834-6510",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "331741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Hartmann
• Independent School District No 2365
• J.a.M., Inc. (South View Living Center)
• Mavis Jean Pautz, RN

• Assisted Living Facility in Gibbon, MN
• Providers in Gibbon, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.