Active NPI
Park River Healthcare and Rehabilitation Center LLC
- Skilled Nursing Facility
- Coon Rapids, MN
National Provider Identifier
1700755337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PARK RIVER HEALTHCARE AND REHABILITATION CENTER LLC
- Practice address
- 9899 Avocet St NW
Coon Rapids, MN 55433-6413 - Phone
- (763) 757-2320
- NPI assigned
- Nov 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reuven Knobel
- Title
- Consultant
- Phone
- (516) 940-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
9899 Avocet St NW
Coon Rapids, MN 55433-6413
Mailing address
9899 Avocet St NW
Coon Rapids, MN 55433-6413
Phone (763) 757-2320
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0402989 | Park River Healthcare and Rehabilitation | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1700755337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9899 AVOCET ST NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554336413",
"telephone_number": "763-757-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9899 AVOCET ST NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554336413",
"telephone_number": "763-757-2320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK RIVER HEALTHCARE AND REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-03",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "KNOBEL",
"authorized_official_first_name": "REUVEN",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "516-940-5100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.