Organization Active NPI

River Place by Serenity, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elk River, MN
National Provider Identifier
1386516722
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RIVER PLACE BY SERENITY, LLC
Practice address
9816 Highway 10
Elk River, MN 55330-6239
Phone
(763) 421-5590
Fax
(763) 427-6876
NPI assigned
Sep 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Sol Ryan
Title
Vice President
Phone
(763) 421-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

9816 Highway 10
Elk River, MN 55330-6239

Mailing address

6058 Highway 10 NW
Anoka, MN 55303-4530
Phone (763) 421-5590

National Provider Directory

National Provider Directory
Tax ID family
River Place by Serenity LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9816 Highway 10
Elk River, MN 55330
Phone (763) 421-5590

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1386516722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6058 HIGHWAY 10 NW",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553034530",
            "telephone_number": "763-421-5590",
            "fax_number": "763-427-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 HIGHWAY 10",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553306239",
            "telephone_number": "763-421-5590",
            "fax_number": "763-427-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER PLACE BY SERENITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "SOL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "763-421-5590"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.