RIVERSIDE ADULT CARE INC


Address: 924 19th Ave S Ste B, Minneapolis, MN 55404-2202
Phone: 6127020253

RIVERSIDE ADULT CARE INC (NPI# 1942844139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942844139
Entity Type Organization
Organization Name RIVERSIDE ADULT CARE INC
Practice Address 924 19th Ave S Ste B
Minneapolis
MN 55404-2202
Practice Telephone 6127020253
Practice Fax Number 6122938592
Mailing Telephone 6127020253
Mailing Fax Number 6122938592
Enumeration Date 2019-10-31
Last Update Date 2019-10-31
Authorized Official Name ADAM ADAM (OWNER/MANAGER)
Authorized Official Telephone 6127020253
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Office Location

Street Address 924 19TH AVE S STE B
City MINNEAPOLIS
State MN
Zip Code 55404-2202

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1225535701 Karissa Dougherty Nurse Practitioner 2200 E Franklin Ave # 199, Minneapolis, MN 55404 2018-04-10
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1629597323 Kira Larson Fieldstrom Social Worker 2400 Blaisdell Ave., Minneapolis, MN 55404 2017-09-13
1770008930 Nicole Lynn Sparks Social Worker 2445 Park Avenue, Minneapolis, MN 55404 2017-08-09
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932739570 Care for You Inc Clinic/Center 2109 Nicollet Ave Ste 105, Minneapolis, MN 55404-3279 2020-01-23
1346709268 State of Minnesota-minnesota Management and Budget Clinic/Center 5101 Minnehaha Ave Bldg 4, Minneapolis, MN 55417-1647 2019-03-19
1881161982 Serene Adult Day Center, Inc Clinic/Center 3108 Emerson Ave N, Minneapolis, MN 55411-1366 2018-10-26
1285140368 Grandpa & Grandma Adult Day Care, Inc. Clinic/Center 2518 N 2nd St, Minneapolis, MN 55411-2233 2017-12-27
1093248585 Lakes Adult Day Care Inc Clinic/Center 1516 East Lake Street, Suite 200, Minneapolis, MN 55407 2017-04-11
1780127399 Banadir Adult Day Care Inc Clinic/Center 1208 E Lake St, Minneapolis, MN 55407-1621 2016-11-30
1003261983 Lao Advancement Organization of America (laoa) Clinic/Center 2648 W Broadway Ave, Minneapolis, MN 55411-1004 2016-04-28
1841696531 Wellness Group Home Clinic/Center 2109 Nicollet Ave Ste 101, Minneapolis, MN 55404-3279 2014-11-07
1962801399 Olu's Center Clinic/Center 1315 12th Ave N, Minneapolis, MN 55411 2014-08-21
1023370384 Multi Community Adult Day Care Program LLC Clinic/Center 1900 Central Ave Ne # 104, Minneapolis, MN 55418-4551 2012-06-13
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Competitor

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City MINNEAPOLIS
Zip Code 55404

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Dataset Information

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.

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