Organization Active NPI

River Valley Homes, Inc.

  • Foster Care Agency
  • Lake Crystal, MN
National Provider Identifier
1104083708
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
1015968-1-WS Issued in MN
Legal business name
RIVER VALLEY HOMES, INC.
Practice address
20176 528TH Ave
Lake Crystal, MN 56055-2286
Phone
(507) 726-6239
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Debra Frances Blaness, LPN
Title
Administrator
Phone
(507) 726-6239

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1015968-1-WS MN
Foster Care Agency 253J00000X 1015968-1-WS MN Primary

Addresses

Primary practice location

20176 528TH Ave
Lake Crystal, MN 56055-2286

Mailing address

20176 528TH Ave
Lake Crystal, MN 56055-2286
Phone (507) 726-6239

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1104083708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20176 528TH AVE",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560552286",
            "telephone_number": "507-726-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20176 528TH AVE",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560552286",
            "telephone_number": "507-726-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BLANESS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-726-6239",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "1015968-1-WS",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1015968-1-WS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.