Active NPI
River Valley Pca Services, Inc.
- Personal Care Attendant
- Farmington, MN
National Provider Identifier
1467507251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- RIVER VALLEY PCA SERVICES, INC.
- Practice address
- 916 8TH Street
Farmington, MN 55024 - Phone
- (651) 460-4201
- Fax
- (651) 460-4208
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaime Nichole Kummer
- Title
- Administrator/Ceo
- Phone
- (651) 460-4201
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MN | ||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
916 8TH Street
Farmington, MN 55024
Mailing address
916 8TH Street
Farmington, MN 55024
Phone (651) 460-4201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406323600 | Medicaid | MN | |
| 181670 | Other | MN | UCARE PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
5200 211th St W
Farmington, MN 55024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639612800000",
"number": "1467507251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 8TH STREET",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "55024",
"telephone_number": "651-460-4201",
"fax_number": "651-460-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 8TH STREET",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "55024",
"telephone_number": "651-460-4201",
"fax_number": "651-460-4208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER VALLEY PCA SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A",
"authorized_official_last_name": "KUMMER",
"authorized_official_first_name": "JAIME",
"authorized_official_middle_name": "NICHOLE",
"authorized_official_title_or_position": "ADMINISTRATOR/CEO",
"authorized_official_telephone_number": "651-460-4201"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406323600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE PROVIDER NUMBER",
"identifier": "181670",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.