Riverview Healthcare Association
Organization Active NPI Home Health Agency · Crookston, MN
NPI 1811046402 · NPPES record last updated Jan 22, 2019
Key facts
- NPI
- 1811046402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- RIVERVIEW HEALTHCARE ASSOCIATION
- Practice address
- 721 S Minnesota St
Crookston, MN 56716-1800 - Phone
- (218) 281-9478
- Fax
- (218) 281-9222
- NPI assigned
- Jan 10, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- RIVERVIEW HEALTHCARE ASSOCIATION
Authorized official
- Name
- Mrs. Betty Arvidson
- Title
- Cfo
- Phone
- (218) 281-9756
Owners & managing parties with NPI records 2
-
Erik J Kanten, MD
-
Brett K Vibeto, MD
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 11
Practitioners 46
-
Jennifer B Dotseth, MSN, APRN, PMHNP-BC
-
Jeremy Joseph Eversvik, CRNA
-
Ian Glidden, MD
-
Tia Michelle Gullickson, FNP-C
-
Riley Hermreck, FNP-C
-
Nicole Johnson, NP
-
Brent Allen Kaiser, CRNA
-
Erik J Kanten, MD
-
Sunny S Kim, M.D.
-
Forrest Laporte, CNP
-
Israel Mostafa, MD
-
Ram Prasad Paneru, M.D.
-
Vinita J Parikh, MD
-
Steven Llewellyn Poissant, PT.,L., AC.,C.S.C.S
-
Hannah Sue Reski, PA-C
-
Lauren Rose, DO
-
Natalie Rebecca Royal, FNP-C
-
Sarah Joy Rudnik, FNP-C
Affiliated clinicians 1
-
Ian Glidden, MD
Medicare Care Compare: Home health agency
- Listed as
- Riverview Home Care
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Non-Profit
- Certified
- Feb 15, 1990
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
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
- Corporation · Non-profit
- Incorporated
- Mar 31, 1898 in MN
- Enrollment address
- 323 S Minnesota St
Crookston, MN 56716-1601
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Lori Keller |
Corporate Director | Jul 30, 2020 | |
| Erik J Kanten |
Corporate Director | Jan 28, 2019 | |
| Betty J Arvidson |
Corporate Officer |
Apr 16, 2012 | |
| Corporate Director |
Jan 22, 2007 | ||
| W-2 Managing Employee | Apr 16, 2012 | ||
| Judy Hulst |
Corporate Director | Jan 27, 2025 | |
| Brett K Vibeto |
Corporate Director | Oct 31, 2019 | |
| Tim James Brinkman |
Corporate Director | Jan 22, 2018 | |
| Carrie a Michalski |
Corporate Officer |
Mar 1, 2007 | |
| W-2 Managing Employee | Mar 1, 2007 | ||
| Grant W Gunderson |
Corporate Director | Jan 23, 2017 | |
| Kari Koenig |
Corporate Director | Jan 28, 2019 | |
| Nicole Heldstab |
Corporate Director | Jan 27, 2025 | |
| Stephanie J Harbott |
Corporate Director | Jan 23, 2017 | |
| Michelle M Fairman Cote |
Corporate Director | Jan 27, 2025 | |
| Tanner Holten |
Corporate Director | Jan 27, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030520000071 | MN | Part a Provider - Home Health Agency | 7810806718 |
1 other NPI on this enrollment Practice locations: Crookston, MN |
National Provider Directory
- Tax ID family
- Riverview Health
- Part of
- Riverview Health
Locations
721 S Minnesota St
Crookston, MN 56716
Phone (218) 281-3385
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
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
- Riverview Home Care
Other providers in Crookston, MN
- Riverview Healthcare Association
- Riverview Healthcare Association
- Riverview Healthcare Association
- Riverview Healthcare Association
- Riverview Healthcare Association
- Samantha Sue Roberts
- Tara Elizabeth Rodriguez
- Angel May Roed
- Eric B Roed
- Mitchell J Roggenbuck
All providers in Crookston, MN · Home Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.