River Falls Qozb

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RIVER FALLS QOZB

Practice address

745 Sycamore St
River Falls, WI 54022-4614

Phone

(715) 997-3444

NPI assigned

Apr 9, 2025

Organization subpart

No

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

Authorized official

Name

Brenda Johnson, MHA, RN, LNHA, LALD

Title

Vice President of Operations

Phone

(612) 874-3477

Specialties & licenses 1

Addresses

Other names 1

• The Sycamore of River Falls Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1962297200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 SYCAMORE ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540224614",
            "telephone_number": "715-997-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 SYCAMORE ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540224614",
            "telephone_number": "715-997-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FALLS QOZB",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "612-874-3477",
        "authorized_official_credential": "MHA, RN, LNHA, LALD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sycamore of River Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• River Falls Dental Assoc LTD
• River Falls Dry Needling and Acupuncture
• River Falls Eye Surgery and Laser Center Inc.
• River Falls Family Dentisty LTD
• River Falls Healthcare, LLC
• River Falls Rcac, LLC
• River Falls Wi Opco LLC
• River Ridge Acupuncture LLC
• River Valley Audiology LLC
• River Valley Physical Therapy, Inc

• Assisted Living Facility in River Falls, WI
• Providers in River Falls, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.