RIVER VIEW PLATINUM LLC (NPI# 1619597465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619597465 |
| Entity Type | Organization |
| Organization Name | RIVER VIEW PLATINUM LLC |
| Practice Address |
1301 E Main St Watertown WI 53094-4043 |
| Mailing Address |
2448 S 102nd St Ste 305 West Allis WI 53227-2141 |
| Practice Telephone | 9205670100 |
| Practice Fax Number | 9205670101 |
| Mailing Telephone | 4149406608 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | JOHN TERESINSKI (MANAGING DIRECTOR) |
| Authorized Official Telephone | 4149406608 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WISCONSIN DHS | 0013914 | 01 |
| Other Name | Type Code |
|---|---|
| River View | Doing Business As Name - Organization |
| Street Address |
1301 E MAIN ST |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53094-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1043785264 | Christian Long | Physical Therapist | Watertown Regional Medical Center, 1684 S Church St, Watertown, WI 53094 | 2018-10-04 |
| 1558566497 | Georgia E Meyer | Occupational Therapist | Rahab In Motion, 615 East Main St Suite B, Watertown, WI 53094 | 2007-06-20 |
| 1588789036 | Kjm Enterprises Inc | Home Health | 111 N Third Street, Watertown, WI 53094 | 2007-03-20 |
| 1114085412 | Paul R Sommers Dds Sc | Dentist | 121 Oakridge Court, Watertown, WI 53094 | 2006-12-05 |
| 1063593614 | Stein Optical Inc | Eyewear Supplier (Equipment, not the service) | 622 S Church St, Watertown, WI 53094 | 2006-10-18 |
| 1598851800 | David J Groh | Dentist | 1521 Doctors Ct, Watertown, WI 53094 | 2006-10-05 |
| 1861594251 | Robert Delano Heinen | General Practice | 700 Hoffmann Dr, Bethesda Lutheran Homes and Services, Watertown, WI 53094 | 2006-09-05 |
| 1669483897 | Donald Alan Wollheim | Surgery | 1911 Gateway Drive, Watertown, WI 53094 | 2006-08-11 |
| Find all providers in zip 53094 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793001 | Zinzendorf Hall, Inc. | Assisted Living Facility | 1047 Hill St, Watertown, WI 53098-3015 | 2020-09-03 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1083089825 | Edgewood Prairie Crossings Watertown Il LLC | Assisted Living Facility | 901 14th Ave Ne, Watertown, SD 57201-6817 | 2015-12-04 |
| 1063848174 | Edgewood Prairie Crossings Watertown | Assisted Living Facility | 420 9th St Se, Watertown, SD 57201-4554 | 2013-09-20 |
| 1952604688 | Heritage Assisted Living of Watertown, LLC | Assisted Living Facility | 700 Welsh Rd, Watertown, WI 53098-4266 | 2010-12-20 |
| 1831399336 | Joyce Wendel | Assisted Living Facility | 17444 Meadow Lake Rd, Watertown, SD 57201-9181 | 2007-07-23 |
| 1598884355 | Brigham House Assisted Living | Assisted Living Facility | Brigham House, 341 Mount Auburn St, Watertown, MA 02472 | 2007-03-29 |
| 1922142785 | Good Samaritan - Sioux Valley Community Health Services | Assisted Living Facility | 424 9th St Se, Watertown, SD 57201-4554 | 2007-02-16 |
| 1114353224 | Edgewood Prairie Crossings Watertown, LLC | Assisted Living Facility | 424 9th St Se, Watertown, SD 57201-4554 | 2013-09-20 |
| 1003151937 | Samaritan Senior Village | Assisted Living Facility | 22691 Campus Drive, Watertown, NY 13601 | 2012-12-04 |
| Find all providers in WATERTOWN | ||||
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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.