REM RIVER BLUFFS, INC. PINEWOOD (NPI# 1801228937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801228937 |
| Entity Type | Organization |
| Organization Name | REM RIVER BLUFFS, INC. PINEWOOD |
| Practice Address |
2631 Pinewood Ridge Dr Se Rochester MN 55904-6227 |
| Mailing Address |
6600 France Ave S Suite 500 Edina MN 55435-1805 |
| Practice Telephone | 9529226776 |
| Practice Fax Number | 9529226885 |
| Mailing Telephone | 9529226772 |
| Mailing Fax Number | 9529226885 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | MRS. CONNIE MENNE (EXECUTIVE 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 | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MDH SLF LICENSE | 366750 | 01 |
| MN | MEDICARE ICF # | 24-G523 | 01 |
| Street Address |
2631 PINEWOOD RIDGE DR SE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-6227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1588749154 | Rem River Bluffs Inc | Intermediate Care Facility, Mentally Retarded | 3003 Stone Park Dr Ne, Rochester, MN 55906-7721 | 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.