RM Senior Living Richfield LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RM SENIOR LIVING RICHFIELD LLC

Practice address

245 W 76TH St
Richfield, MN 55423-2225

Phone

(612) 286-8762

Fax

(612) 767-5047

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Denyse Ethridge

Title

Executive Director, Coo

Phone

(612) 243-4585

Specialties & licenses 1

Addresses

Other names 1

• Havenwood of Richfield Other name

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1508411257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 LYNDALE AVE S STE 110",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554236008",
            "telephone_number": "612-243-4580",
            "fax_number": "612-861-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W 76TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232225",
            "telephone_number": "612-286-8762",
            "fax_number": "612-767-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RM SENIOR LIVING RICHFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "ETHRIDGE",
        "authorized_official_first_name": "DENYSE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, COO",
        "authorized_official_telephone_number": "612-243-4585"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Havenwood of Richfield",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Claudia Pilar Rodriguez
• Michael Rohlf, DDS
• Iliana M Romero
• Jamee Noelle Rosell, RDH, DT

• Assisted Living Facility in Richfield, MN
• Providers in Richfield, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.