Organization Active NPI

Augustana Senior Development II

Doing business as River Bend Assisted Living

  • Assisted Living Facility
  • Rochester, MN
National Provider Identifier
1801392873
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AUGUSTANA SENIOR DEVELOPMENT II
Doing business as
River Bend Assisted Living
River Bend Home Care
Practice address
30 Silver Lake PL NW
Rochester, MN 55901-3257
Phone
(507) 282-1550
NPI assigned
Mar 30, 2018
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Seelochani Stadtherr
Title
Director of Reimbursement
Phone
(952) 855-5041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

30 Silver Lake PL NW
Rochester, MN 55901-3257

Mailing address

30 Silver Lake PL NW
Rochester, MN 55901-3257
Phone (507) 282-1550

Other identifiers 1

IdentifierTypeStateIssuer
383643MedicaidMN

Other names 2

  • River Bend Assisted Living Doing business as
  • River Bend Home Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jon.Stene@cassialife.org

National Provider Directory

National Provider Directory
Tax ID family
Alf Employer Minnesota LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Interoperability endpoints

  • Direct secure messaging: jon.stene@cassialife.org

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1801392873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SILVER LAKE PL NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013257",
            "telephone_number": "507-282-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SILVER LAKE PL NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013257",
            "telephone_number": "507-282-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTANA SENIOR DEVELOPMENT II",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "STADTHERR",
        "authorized_official_first_name": "SEELOCHANI",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "952-855-5041"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383643",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jon.Stene@cassialife.org",
            "affiliation": "N",
            "address_1": "30 Silver Lake Pl NW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559013257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "River Bend Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Bend Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Bend Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.