Active NPI
River Valley Homes, Inc.
- Foster Care Agency
- Lake Crystal, MN
National Provider Identifier
1104083708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 1015968-1-WS
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.