Organization Active NPI

River Falls Convalescent Center, Inc.

  • Skilled Nursing Facility
  • River Falls, WI
National Provider Identifier
1255667705
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RIVER FALLS CONVALESCENT CENTER, INC.
Practice address
1663 E Division St
River Falls, WI 54022-1571
Phone
(715) 426-6000
NPI assigned
Oct 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Evelyn Brown
Title
President
Phone
(770) 619-0866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X WI Primary

Addresses

Primary practice location

1663 E Division St
River Falls, WI 54022-1571

Mailing address

5174 McGinnis Ferry Rd
Suite 126
Alpharetta, GA 30005-1792
Phone (770) 619-0866

Other names 1

  • Kinnic Long Term Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1255667705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5174 MCGINNIS FERRY RD",
            "address_2": "SUITE 126",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051792",
            "telephone_number": "770-619-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 E DIVISION ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540221571",
            "telephone_number": "715-426-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FALLS CONVALESCENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-619-0866"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinnic Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.