Rivers Edge Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

377951 Issued in MN

Legal business name

RIVERS EDGE ASSISTED LIVING, INC.

Doing business as

Rivers Edge Assisted Living

Practice address

11 Minnesota Ave S
Aitkin, MN 56431-1759

Phone

(218) 429-5786

Fax

(218) 429-5781

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Marie Trovinger, RN

Title

Administrator

Phone

(218) 429-5786

Specialties & licenses 1

Addresses

Other names 1

• Rivers Edge Assisted Living Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1790235786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MINNESOTA AVE S",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311759",
            "telephone_number": "218-429-5786",
            "fax_number": "218-429-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MINNESOTA AVE S",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311759",
            "telephone_number": "218-429-5786",
            "fax_number": "218-429-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS EDGE ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "TROVINGER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-429-5786",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "377951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivers Edge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diane C Roth, OT
• Lincoln R Roth, CRNA
• Brooke Danielle Sander, LMFT
• Linnae Marie Schansberg, LADC
• Diane Schlagel, MSLP

• Assisted Living Facility in Aitkin, MN
• Providers in Aitkin, 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 Oct 13, 2016; 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.