River Hills Village, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RIVER HILLS VILLAGE, LLC

Doing business as

River Hills Village

Practice address

20 Village Cir
Keokuk, IA 52632-2040

Phone

(319) 524-5772

Fax

(319) 524-3001

NPI assigned

Jun 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Robert W. Redman

Title

Owner

Phone

(816) 415-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• River Hills Village Doing business as

Locations

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1720215676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 LIBERTY DR",
            "city": "PLEASANT VALLEY",
            "state": "MO",
            "postal_code": "640687757",
            "telephone_number": "816-415-9700",
            "fax_number": "816-415-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VILLAGE CIR",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526322040",
            "telephone_number": "319-524-5772",
            "fax_number": "319-524-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HILLS VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-415-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805283",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Hills Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Keokuk, IA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.