Organization Active NPI

Riverview Development Corporation

Doing business as Mill Valley Care Center

  • Skilled Nursing Facility
  • Bellevue, IA
National Provider Identifier
1649497181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
490158 Issued in IA
Legal business name
RIVERVIEW DEVELOPMENT CORPORATION
Doing business as
Mill Valley Care Center
Practice address
1201 Park St
Bellevue, IA 52031-1911
Phone
(563) 872-5521
Fax
(563) 872-5609
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Donald L Chensvold
Title
Manager
Phone
(319) 362-8916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 490158 IA Primary

Addresses

Primary practice location

1201 Park St
Bellevue, IA 52031-1911

Mailing address

1201 Park St
Bellevue, IA 52031-1911
Phone (563) 872-5521

Other identifiers 1

IdentifierTypeStateIssuer
0196006MedicaidIA

Other names 1

  • Mill Valley Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mill Valley Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1201 Park St
Bellevue, IA 52031
Phone (563) 872-5521

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649497181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PARK ST",
            "city": "BELLEVUE",
            "state": "IA",
            "postal_code": "520311911",
            "telephone_number": "563-872-5521",
            "fax_number": "563-872-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PARK ST",
            "city": "BELLEVUE",
            "state": "IA",
            "postal_code": "520311911",
            "telephone_number": "563-872-5521",
            "fax_number": "563-872-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHENSVOLD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-362-8916",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "490158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0196006",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Valley Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.