River of Life Rehab, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

101611 Issued in MN

Legal business name

RIVER OF LIFE REHAB, LLC

Practice address

44 Scotts BLF
Grand Marais, MN 55604-2197

Phone

(218) 387-9185

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Anna SorensenNPI 1881865871

Title

Owner

Phone

(218) 387-9185

Specialties & licenses 1

Addresses

Tax ID family

River of Life Rehab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• River of Life Rehab, LLC

  • Rehabilitation Clinic/Center
  • Grand Marais, MN
  • NPI 1457523474
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Sorensen, OTR/L

  • Pediatric Occupational Therapist
  • Grand Marais, MN
  • NPI 1881865871
  NPD (past) Authorized official

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1720260342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SCOTTS BLF",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556042197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SCOTTS BLF",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556042197",
            "telephone_number": "218-387-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER OF LIFE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-387-9185"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "101611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Pharmacy LTD
• Kelsey Saladin Oneil, DPT
• Patrick Wesley Pawlowski, DDS
• McCabe F Plaas, DC
• River of Life Rehab, LLC
• Michael Sampson, MD
• Sawtooth Chiropractic PC
• Sawtooth Mountain Clinic, Inc.
• Sawtooth Mountain Clinic, Inc.
• Milan C Schmidt, MD

• Clinic/Center in Grand Marais, MN
• Providers in Grand Marais, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.