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RIVERS EDGE ASSISTED LIVING INC. NPI 1790235786


NPI Information

NPI: 1790235786
Provider Name: RIVERS EDGE ASSISTED LIVING, INC.

Doing Business As: RIVERS EDGE ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D2123106

Address:
11 MINNESOTA AVE S
AITKIN, MN
ZIP 56431
Phone: (218) 429-5786
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RIVERS EDGE ASSISTED LIVING, INC. is an assisted living facility in Aitkin, MN. The provider is 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. RIVERS EDGE ASSISTED LIVING, INC. NPI is 1790235786. The provider is registered as an organization entity type.
The provider Is Doing Business As Rivers Edge Assisted Living.

The provider's business location address is:

11 MINNESOTA AVE S
AITKIN, MN
ZIP 56431-759
Phone: (218) 429-5786
Fax: (218) 429-5781

The provider's authorized official is Sharon Marie Trovinger .
The authorized official title is Administrator and has the following contact phone number (218) 429-5786.

The CLIA number assigned to this NPI record is 24D2123106 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2016 and was last updated on 10/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility377951MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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