Organization Active NPI

Riverview Healthcare Association

Doing business as Hillcrest Nursing Home

  • Skilled Nursing Facility
  • Red Lake Falls, MN
National Provider Identifier
1962515940
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RIVERVIEW HEALTHCARE ASSOCIATION
Doing business as
Hillcrest Nursing Home
Practice address
311 Broadway Ave NE
Red Lake Falls, MN 56750-4224
Phone
(218) 253-2157
Fax
(218) 253-4676
NPI assigned
Aug 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Carrie Michalski
Title
Administrator
Phone
(218) 253-2157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X MN Primary

Addresses

Primary practice location

311 Broadway Ave NE
Red Lake Falls, MN 56750-4224

Mailing address

311 Broadway Ave NE
Red Lake Falls, MN 56750-4224
Phone (218) 253-2157

Other names 1

  • Hillcrest Nursing Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962515940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BROADWAY AVE NE",
            "city": "RED LAKE FALLS",
            "state": "MN",
            "postal_code": "567504224",
            "telephone_number": "218-253-2157",
            "fax_number": "218-253-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BROADWAY AVE NE",
            "city": "RED LAKE FALLS",
            "state": "MN",
            "postal_code": "567504224",
            "telephone_number": "218-253-2157",
            "fax_number": "218-253-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW HEALTHCARE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHALSKI",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-253-2157",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Lake Falls, MN

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.