NPIMap

Organization Active NPI

Riverview Healthcare Association

Doing business as Riverview Home Care

  • Home Health Agency
  • Crookston, MN
National Provider Identifier
1811046402
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RIVERVIEW HEALTHCARE ASSOCIATION
Doing business as
Riverview Home Care
Practice address
721 S Minnesota St
Crookston, MN 56716-1800
Phone
(218) 281-9478
Fax
(218) 281-9222
NPI assigned
Jan 10, 2007
Last updated
Jan 22, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVERVIEW HEALTHCARE ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Mrs. Betty Arvidson
Title
Cfo
Phone
(218) 281-9756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

721 S Minnesota St
Crookston, MN 56716-1800

Mailing address

323 S Minnesota St
Crookston, MN 56716-1601
Phone (218) 281-9200

Other names 1

  • Riverview Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030520000071 MN Part A Provider - Home Health Agency 7810806718 1 other NPI on this enrollment
Practice locations: Crookston, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811046402. Details of each certification follow.

Home health agency certification: CCN 247252

Legal name
RIVERVIEW HEALTHCARE ASSOCIATION
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 15, 1990
Last certification
Sep 30, 2016
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Mar 31, 1898 in MN
Enrollment address
323 S Minnesota St
Crookston, MN 56716-1601

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Riverview Home CareCCN 247252 · All quality measures
Overall star rating
4.5 of 5
Ownership
Non-Profit
Certified
Feb 15, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Riverview Healthcare Assn12 organizations share this tax ID, including this one
Part of
Riverview Healthcare Assn

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lori Keller Individual Corporate Director Jul 30, 2020
Erik J Kanten Individual Corporate Director Jan 28, 2019
Betty J Arvidson Individual Corporate OfficerCfo Apr 16, 2012
Corporate DirectorBoard Member Jan 22, 2007
W-2 Managing Employee Apr 16, 2012
Judy Hulst Individual Corporate Director Jan 27, 2025
Brett K Vibeto Individual Corporate Director Oct 31, 2019
Tim James Brinkman Individual Corporate Director Jan 22, 2018
Carrie a Michalski Individual Corporate OfficerCeo Mar 1, 2007
W-2 Managing Employee Mar 1, 2007
Grant W Gunderson Individual Corporate Director Jan 23, 2017
Kari Koenig Individual Corporate Director Jan 28, 2019
Nicole Heldstab Individual Corporate Director Jan 27, 2025
Stephanie J Harbott Individual Corporate Director Jan 23, 2017
Michelle M Fairman Cote Individual Corporate Director Jan 27, 2025
Tanner Holten Individual Corporate Director Jan 27, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1811046402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S MINNESOTA ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161601",
            "telephone_number": "218-281-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S MINNESOTA ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161800",
            "telephone_number": "218-281-9478",
            "fax_number": "218-281-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW HEALTHCARE ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERVIEW HEALTHCARE ASSOCIATION",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "ARVIDSON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "218-281-9756",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverview Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crookston, MN

Sources for this page

Verify at the official NPI Registry.