Eca Riverview LC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

820046 Issued in IA

Legal business name

ECA RIVERVIEW LC

Doing business as

Riverview Manor

Practice address

17990 Spencer Road
Pleasant Valley, IA 52767

Phone

(563) 332-4600

Fax

(563) 332-1493

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald L Chensvold

Title

Manager

Phone

(319) 362-8916

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Riverview Manor Doing business as

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1922067222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "PLEASANT VALLEY",
            "state": "IA",
            "postal_code": "527670503",
            "telephone_number": "563-332-4600",
            "fax_number": "563-332-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17990 SPENCER ROAD",
            "city": "PLEASANT VALLEY",
            "state": "IA",
            "postal_code": "52767",
            "telephone_number": "563-332-4600",
            "fax_number": "563-332-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECA RIVERVIEW LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CHENSVOLD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-362-8916",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "820046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "16D0667178",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0808410",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Pleasant Valley, IA
• Providers in Pleasant Valley, IA by specialty
• Nursing Facility/Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.