Organization Active NPI

Alf Employer Minnesota, LLC

  • Assisted Living Facility
  • Rochester, MN
National Provider Identifier
1609328376
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HFID32141 Issued in MN
Legal business name
ALF EMPLOYER MINNESOTA, LLC
Practice address
30 Silver Lake PL NW
Rochester, MN 55901-3257
Phone
(507) 282-1550
NPI assigned
Oct 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Kimra Holcomb
Title
Coo
Phone
(541) 747-3373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HFID32141 MN Primary

Addresses

Primary practice location

30 Silver Lake PL NW
Rochester, MN 55901-3257

Mailing address

78 Centennial Loop
Suite E
Eugene, OR 97401-7909
Phone (541) 747-3373

Other names 1

  • River Bend Senior Living and Memory Care 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": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1609328376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CENTENNIAL LOOP",
            "address_2": "SUITE E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017909",
            "telephone_number": "541-747-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SILVER LAKE PL NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013257",
            "telephone_number": "507-282-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALF EMPLOYER MINNESOTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "KIMRA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "541-747-3373"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "HFID32141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Bend Senior Living and Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.