RM Senior Living of Minnetonka LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RM SENIOR LIVING OF MINNETONKA LLC

Doing business as

Havenwood Of Minnetonka

Practice address

17710 Old Excelsior Blvd
Minnetonka, MN 55345-4109

Phone

(952) 474-5756

NPI assigned

Jul 16, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Russell Grundhauser

Title

Cfo

Phone

(612) 827-8382

Specialties & licenses 1

Addresses

Other names 1

• Havenwood Of Minnetonka Doing business as

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1750933032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17710 OLD EXCELSIOR BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454109",
            "telephone_number": "952-474-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17710 OLD EXCELSIOR BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454109",
            "telephone_number": "952-474-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RM SENIOR LIVING OF MINNETONKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "GRUNDHAUSER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "612-827-8382",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Havenwood Of Minnetonka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel S Rippel, MA, LP
• Kimberly Hullsiek Rittmaster, D.C.
• Raymond Mauricio Rivas, M.D.
• Skye Rivera, NP
• Riverbridge Counseling, Inc.
• Alesha N Roach, M.D.
• Brian Donald Roach, M.D.
• Deanna M Roberson, CNP
• Debra Wood Roberts, PT
• Chandra M Robinson-James, FNP

• Assisted Living Facility in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.