River Oaks Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4579567 Issued in MN

Legal business name

RIVER OAKS HOME HEALTH CARE LLC

Practice address

900 3Rd St
International Falls, MN 56649-2208

Phone

(218) 283-3031

Fax

(218) 283-4047

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Lee Larsen-Griffin, RN

Title

Administrator

Phone

(218) 283-3031

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114920147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 3RD ST",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492208",
            "telephone_number": "218-283-3031",
            "fax_number": "218-283-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 3RD ST",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492208",
            "telephone_number": "218-283-3031",
            "fax_number": "218-283-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER OAKS HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSEN-GRIFFIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-283-3031",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "4579567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE INSURANCE",
            "identifier": "130913",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "2D75RI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA INSURANCE",
            "identifier": "5900088",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in International Falls, MN
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• 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.