National Provider Identifier Database

RIVERVIEW SERVICES INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities

Contact Information

RIVERVIEW SERVICES, INC.
750 3RD AVE
WANAMINGO, MN  55983-1478
Phone: 150-782-4209
Fax: 507-824-2249
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
In Home Supportive Care 253Z00000X
Intermediate Care Facility, Mentally Retarded 315P00000X
Respite Care 385H00000X

* Indicates primary specialty

NPI Profile & details for RIVERVIEW SERVICES, INC.

NPI Number 1720102015
Legal business name
LBN		 RIVERVIEW SERVICES, INC.
Authorized official MALISSA PARROTT-STAHNKE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/19/2007
Last updated 03/31/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 802152-1-RS
  • MN Medicaid: 545843900
  • MN Medicaid: A053423400
  • MN Medicaid: A213682200
  • MN Medicaid: A521523400
  • MN Medicaid: A696815500
  • MN Medicaid: A734457100
  • MN Medicaid: A777460000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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