Organization Active NPI

River Match LLC

  • Case Management Agency
  • Saint Paul, MN
National Provider Identifier
1700448529
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RIVER MATCH LLC
Practice address
1301 7TH St E
Saint Paul, MN 55106-4039
Phone
(612) 247-1484
NPI assigned
Jul 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Richard J Gardell
Title
President
Phone
(612) 247-1484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1301 7TH St E
Saint Paul, MN 55106-4039

Mailing address

1301 7TH St E
Saint Paul, MN 55106-4039
Phone (612) 247-1484

Other names 1

  • Time to Thrive Doing business as

National Provider Directory

National Provider Directory

Locations

1301 7th St E
Saint Paul, MN 55106
Phone (612) 813-5034

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1700448529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064039",
            "telephone_number": "612-247-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064039",
            "telephone_number": "612-247-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER MATCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "GARDELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-247-1484"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Time to Thrive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.