Organization Active NPI

Park River Healthcare and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Coon Rapids, MN
National Provider Identifier
1700755337
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Mar 25, 2026

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0402989Park River Healthcare and Rehabilitation9899 Avocet St NW, Coon Rapids, MN 55433Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.