Twin Rivers Afc LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

TWIN RIVERS AFC LLC

Practice address

1036 Sunset Ridge Rd
Saint Cloud, MN 56303-0645

Phone

(218) 428-6540

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Leisa Marie SchwabNPI 1902505233

Title

Owner

Phone

(218) 428-6540

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leisa Marie Schwab

  • Adult Care Home Facility
  • Saint Cloud, MN
  • NPI 1902505233
  NPD Authorized official

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1134811102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 SUNSET RIDGE RD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563030645",
            "telephone_number": "218-428-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 SUNSET RIDGE RD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563030645",
            "telephone_number": "218-428-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN RIVERS AFC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "SCHWAB",
        "authorized_official_first_name": "LEISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-428-6540"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elaine Tunnell, RBT
• James Rudolph Tuorila
• Anne Tuoy-Giel, FNP
• Alexis Hope Turn, OD
• Leia Lynn Twigg-Smith, PSY.D
• Ubbad LLC
• Onyinyechukwu Chioma Uchime, MD/PHD
• Hilary Ikenna Ufearo, MBBS
• Jeffrey B Uhl, DDS
• Jenna Therese Ulbrich

• Adult Care Home Facility in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.