Riverview Services, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wanamingo, MN
NPI 1720102015 · NPPES record last updated Mar 31, 2022
Key facts
- NPI
- 1720102015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- RIVERVIEW SERVICES, INC.
- Practice address
- 750 3Rd Ave
Wanamingo, MN 55983-1478 - Phone
- (150) 782-4209
- Fax
- (507) 824-2249
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Malissa Parrott-Stahnke
- Title
- Executive Director
- Phone
- (507) 824-2091
National Provider Directory
Locations
750 3rd Ave
Wanamingo, MN 55983
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 802152-1-RS | MN | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
750 3Rd Ave
Wanamingo, MN 55983-1478
Mailing address
750 3Rd Ave
Wanamingo, MN 55983-1478
Phone (507) 824-2091
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A213682200 | Medicaid | MN | |
| A696815500 | Medicaid | MN | |
| A734457100 | Medicaid | MN | |
| A777460000 | Medicaid | MN | |
| A521523400 | Medicaid | MN | |
| 545843900 | Medicaid | MN | |
| A053423400 | Medicaid | MN |
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- Laura McBroom
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- Private Healthcare Facilities
- Heidi Smith
- Wanamingo Chiropractic LLC
All providers in Wanamingo, MN · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.