Organization Active NPI

Twin Rivers Inc.

Doing business as River Hills Village

  • Assisted Living Facility
  • Keokuk, IA
National Provider Identifier
1801910344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
S0053 Issued in IA
Legal business name
TWIN RIVERS INC.
Doing business as
River Hills Village
Practice address
20 Village Cir
Keokuk, IA 52632-2040
Phone
(417) 864-4545
Fax
(417) 869-4524
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kurt A. Leutzinger
Title
Cfo
Phone
(417) 864-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0053 IA Primary

Addresses

Primary practice location

20 Village Cir
Keokuk, IA 52632-2040

Mailing address

20 Village Cir
Keokuk, IA 52632-2040
Phone (417) 864-4545

Other identifiers 1

IdentifierTypeStateIssuer
0485763MedicaidIA

Other names 1

  • River Hills Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
River Hills Village2 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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801910344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VILLAGE CIR",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526322040",
            "telephone_number": "417-864-4545",
            "fax_number": "417-486-9452"
        },
        {
            "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": "417-864-4545",
            "fax_number": "417-869-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN RIVERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEUTZINGER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "417-864-4545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0485763",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Hills Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keokuk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.