Active NPI
River Valley in-Home Services, LLC
- Personal Care Attendant
- Doniphan, MO
National Provider Identifier
1982304937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- RIVER VALLEY IN-HOME SERVICES, LLC
- Practice address
- 111 Leroux St
Doniphan, MO 63935-1038 - Phone
- (314) 282-2957
- Fax
- (314) 282-2967
- NPI assigned
- Mar 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John P Bosen
- Title
- President/Ceo
- Phone
- (314) 282-2957
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
111 Leroux St
Doniphan, MO 63935-1038
Mailing address
11796 Westline Industrial Dr
Saint Louis, MO 63146-3402
Phone (314) 282-2957
National Provider Directory
National Provider Directory- Tax ID family
- River Valley in-Home Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Doniphan, MO
- NPI 1033819149
Locations
11796 Westline Industrial Dr
Saint Louis, MO 63146
Phone (314) 282-2957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678233600000",
"number": "1982304937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11796 WESTLINE INDUSTRIAL DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463402",
"telephone_number": "314-282-2957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LEROUX ST",
"city": "DONIPHAN",
"state": "MO",
"postal_code": "639351038",
"telephone_number": "314-282-2957",
"fax_number": "314-282-2967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER VALLEY IN-HOME SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A",
"authorized_official_last_name": "BOSEN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "314-282-2957"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doniphan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.