Rock River Valley Self Help Enterprises, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ROCK RIVER VALLEY SELF HELP ENTERPRISES, INC.

Practice address

2300 W Lefevre Rd.
Sterling, IL 61081-7703

Phone

(815) 626-3115

NPI assigned

Dec 29, 2015

Organization subpart

No

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

Authorized official

Name

Carla Haubrich

Title

Executive Director

Phone

(815) 626-3115

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Kay Bollivar, DT

  • Developmental Therapist
  • Sterling, IL
  • NPI 1114049061
  NPD (past)

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1588029946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W LEFEVRE RD.",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610817703",
            "telephone_number": "815-626-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W LEFEVRE RD.",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610817703",
            "telephone_number": "815-626-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK RIVER VALLEY SELF HELP ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "HAUBRICH",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-626-3115"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Reynolds
• Tia Alberta-Rainbow Richards, LSW
• Edward L Rick, D.D.S., M.S.
• Eric K. Riley, D.P.M.
• Rock River Health, Inc.
• Lindsay M Rodriguez
• Kristen Marie Roenfanz
• Kevin Rogers
• Theresa A Rogers
• Amy Rosengren

• Developmentally Disabled Services Day Training Agency in Sterling, IL
• Providers in Sterling, IL by specialty
• Developmentally Disabled Services Day Training Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.