RICHFIELD HEALTH CENTER
NPI 1063801868
Skilled Nursing Facility in Richfield, MN

Active since January 16, 2015CLIA 24D0705312 · Waiver
7727 PORTLAND AVE, RICHFIELD, MN 55423(612) 861-1691 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richfield Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHFIELD HEALTH CENTER (NPI 1063801868) is a healthcare organization registered as a skilled nursing facility in Richfield, Minnesota and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David Keating, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1063801868
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFMG PORTLAND AVENUE SOUTH MINNESOTA LLC
Location Address7727 PORTLAND AVERichfield, MN 55423-4320
Mailing Address7727 Portland AveRichfield, MN 55423-4320 · (612) 861-1691
Organization SubpartNo
Authorized OfficialDavid KeatingAuthorized Official · (414) 908-8058
Enumeration DateJanuary 16, 2015
NPI 1063801868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
7727 PORTLAND AVE, Richfield, MN 55423

Other Names 1

Doing Business AsRichfield Health Center

Other Identifiers 1

Medicare OSCAR/certification245492MN

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0705312

Richfield A Villa Center · Richfield, MN
Active · expires Aug 31, 2026
CLIA Number24D0705312
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPaxton Wiffler
Laboratory Phone(612) 861-1691
Laboratory LocationRichfield A Villa Center7727 Portland Ave, Richfield, MN 55423
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
7727 PORTLAND AVE
RICHFIELD, MN 55423
Skilled Nursing Facility
7727 PORTLAND AVE
RICHFIELD, MN 55423
Speech-Language Pathologist
7727 PORTLAND AVE
RICHFIELD, MN 55423
Physical Therapy Assistant
7727 PORTLAND AVE
RICHFIELD, MN 55423
Occupational Therapist
7727 PORTLAND AVE
RICHFIELD, MN 55423
Speech-Language Pathologist
7727 PORTLAND AVE
RICHFIELD, MN 55423
Occupational Therapist
7727 PORTLAND AVE
RICHFIELD, MN 55423
Speech-Language Pathologist
7727 PORTLAND AVE
RICHFIELD, MN 55423

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fmg Portland Avenue South Minnesota LLC's NPI number?

The NPI number for Fmg Portland Avenue South Minnesota LLC is 1063801868. It was assigned to this organization in the NPPES registry on January 16, 2015. The provider is doing business as Richfield Health Center.

Where is Fmg Portland Avenue South Minnesota LLC located?

Fmg Portland Avenue South Minnesota LLC is located at 7727 Portland Ave, Richfield, MN 55423. The listed phone number is (612) 861-1691.

What is Fmg Portland Avenue South Minnesota LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Fmg Portland Avenue South Minnesota LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0705312) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fmg Portland Avenue South Minnesota LLC was last updated on January 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.