REM RIVER BLUFFS INC (NPI# 1588749154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588749154 |
| Entity Type | Organization |
| Organization Name | REM RIVER BLUFFS INC |
| Other Organization Name | REM RIVER BLUFFS INC STONE PARK |
| Practice Address |
3003 Stone Park Dr Ne Rochester MN 55906-7721 |
| Mailing Address |
6600 France Ave S Suite 500 Edina MN 55435-1805 |
| Practice Telephone | 9529226776 |
| Practice Fax Number | 9529226885 |
| Mailing Telephone | 9529226776 |
| Mailing Fax Number | 9529226885 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-01-24 |
| Authorized Official Name | MR. PAT MASYGA (STATE DIRECTOR) |
| Authorized Official Telephone | 9529226776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 8021113RS | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 131245600 | 05 |
| Other Name | Type Code |
|---|---|
| REM River Bluffs Inc Stone Park | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871662650 | Rem River Bluffs Inc | Intermediate Care Facility, Mentally Retarded | 1631 19th Avenue Se, Rochester, MN 55904 | 2006-11-07 |
| 1720163322 | Rem River Bluffs Inc | Intermediate Care Facility, Mentally Retarded | 2509 55th Street Nw, Rochester, MN 55901 | 2006-10-25 |
| 1629153200 | Rem River Bluffs Inc | Intermediate Care Facility, Mentally Retarded | 2606 Malmquist Avenue, Red Wing, MN 55066 | 2006-10-25 |
| Street Address |
3003 STONE PARK DR NE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55906-7721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472440 | Carole Ellen Jenson | Nurse Practitioner | Rochester Clinic, 3070 Wellner Drive Ne, Rochester, MN 55906 | 2018-10-11 |
| 1760853980 | Sebandy Home Care Services, LLC | Health Maintenance Organization | 2548 Lisa Ln Ne, Rochester, MN 55906 | 2015-10-14 |
| 1538550611 | Rachel Eldersveld | Nurse Practitioner | 716 12th Ave Ne, Rochester, MN 55906 | 2015-02-11 |
| 1639590045 | Riverstone Psychological Services | Community/Behavioral Health | 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 | 2014-01-02 |
| 1396177457 | Marjorie Evelyn Murray | Custodial Care Facility | 4501-22nd Ave N.e., Rochester, MN 55906 | 2013-07-31 |
| 1447532411 | Peter M Holm | Dentist | 120 North Broadway Ne, Suite B, Good Samaritan Dental Clinic, Rochester, MN 55906 | 2011-09-15 |
| 1154615193 | Amy Johnson Tremain | Psychologist | 3228 6th Ave Ne Unit B, Rochester, MN 55906 | 2011-06-07 |
| 1235451816 | Connie Krueger | Dental Hygienist | 120 North Broadway, Ne, Suite B, Rochester, MN 55906 | 2010-02-23 |
| 1700115508 | Smn Home Care, LLC | Home Health | 1700 N. Broadway, Suite 114, Rochester, MN 55906 | 2009-12-08 |
| 1528395068 | Ryley D Layden | Chiropractor | 3169 Wellner Dr. Ne, Suite C, Rochester, MN 55906 | 2009-11-04 |
| Find all providers in zip 55906 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801228937 | Rem River Bluffs, Inc. Pinewood | Intermediate Care Facility, Mentally Retarded | 2631 Pinewood Ridge Dr Se, Rochester, MN 55904-6227 | 2013-07-31 |
| 1508033580 | Allendale House | Intermediate Care Facility, Mentally Retarded | 3108 Highway 52 N, Rochester, MN 55901-1916 | 2008-05-09 |
| 1083880488 | Bear Creek Services | Intermediate Care Facility, Mentally Retarded | 3108 Hwy 52 N, Rochester, MN 55901-1916 | 2008-05-06 |
| 1205955440 | Lifetime Assistance, Inc. | Intermediate Care Facility, Mentally Retarded | 425 Paul Rd, Rochester, NY 14624-4721 | 2007-03-28 |
| 1588737381 | Msocs-rochester | Intermediate Care Facility, Mentally Retarded | 448 17th St Sw, Rochester, MN 55902-2158 | 2006-11-17 |
| 1306918420 | Mary Cariola Children's Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2245 English Rd, Rochester, NY 14616-1651 | 2006-11-14 |
| 1093887101 | Mary Cariola Children's Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2575 Browncroft Blvd, Rochester, NY 14625-1528 | 2006-11-14 |
| 1871662650 | Rem River Bluffs Inc | Intermediate Care Facility, Mentally Retarded | 1631 19th Avenue Se, Rochester, MN 55904 | 2006-11-07 |
| 1720163322 | Rem River Bluffs Inc | Intermediate Care Facility, Mentally Retarded | 2509 55th Street Nw, Rochester, MN 55901 | 2006-10-25 |
| 1356554406 | Lifetime Assistance, Inc | Intermediate Care Facility, Mentally Retarded | 425 Paul Rd, Rochester, NY 14624 | 2007-05-07 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.