Organization Active NPI

Red River Health and Rehab LLC

Doing business as Red River Health and Rehab

  • Skilled Nursing Facility
  • Moorhead, MN
National Provider Identifier
1326632605
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RED RIVER HEALTH AND REHAB LLC
Doing business as
Red River Health and Rehab
Practice address
2810 2ND Ave N
Moorhead, MN 56560-2511
Phone
(218) 233-7578
NPI assigned
Feb 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Facility Administrator
Title
Administrator
Phone
(218) 233-7578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2810 2ND Ave N
Moorhead, MN 56560-2511

Mailing address

2810 2ND Ave N
Moorhead, MN 56560-2511

Other names 1

  • Red River Health and Rehab 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": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1326632605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 2ND AVE N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 2ND AVE N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602511",
            "telephone_number": "218-233-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER HEALTH AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "ADMINISTRATOR",
        "authorized_official_first_name": "FACILITY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-233-7578"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red River Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.