RIVER OF LIFE SERVICES
NPI 1144400011
Internal Medicine - Addiction Medicine in St Louis Park, MN

Active since November 08, 2007
6200 EXCELSIOR BLVD, #202, ST LOUIS PARK, MN 55416(952) 548-9344(952) 548-9344 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About River Of Life Services NPPES

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

RIVER OF LIFE SERVICES (NPI 1144400011) is a healthcare organization registered as an addiction medicine in St Louis Park, Minnesota and active in the NPI registry since November 2007. The organization lists Hayden Donaldson Severin, Addictionology/asam Certified, as its authorized official.

NPPES Registry Identity

NPI1144400011
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameRIVER OF LIFE SERVICES LLC
Location Address6200 EXCELSIOR BLVD, #202St Louis Park, MN 55416-2730
Mailing Address6200 Excelsior Blvd, #202St Louis Park, MN 55416-2730 · (952) 548-9344 · Fax (952) 548-9344
Fax(952) 548-9344
Organization SubpartNo
Authorized OfficialHayden Donaldson SeverinAddictionology/asam Certified · (952) 548-9344
Enumeration DateNovember 8, 2007
NPI 1144400011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License Licensed in MN · 45852
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
6200 EXCELSIOR BLVD, St Louis Park, MN 55416

Other Names 1

Doing Business AsRiver Of Life Services

Other Identifiers 2

Medicare PINC04215MN
Medicare UPINB15531NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Early Intervention Provider Agency
6200 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Chiropractor
6200 EXCELSIOR BLVD, SUITE 201
ST LOUIS PARK, MN 55416
Chiropractor
6200 EXCELSIOR BLVD, SUITE 201
ST LOUIS PARK, MN 55416
Chiropractor
6200 EXCELSIOR BLVD, 204
ST LOUIS PARK, MN 55416
Psychologist (Clinical)
6200 EXCELSIOR BLVD, #202
ST LOUIS PARK, MN 55416
Psychologist (Clinical)
6200 EXCELSIOR BLVD, STE 202
ST LOUIS PARK, MN 55416
Chiropractor (Neurology)
6200 EXCELSIOR BLVD, SUITE 204
ST LOUIS PARK, MN 55416
Chiropractor
6200 EXCELSIOR BLVD, SUITE 201
ST LOUIS PARK, MN 55416

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 River Of Life Services LLC's NPI number?

The NPI number for River Of Life Services LLC is 1144400011. It was assigned to this organization in the NPPES registry on November 8, 2007. The provider is doing business as River Of Life Services.

Where is River Of Life Services LLC located?

River Of Life Services LLC is located at 6200 Excelsior Blvd #202, St Louis Park, MN 55416. The listed phone number is (952) 548-9344.

What is River Of Life Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for River Of Life Services LLC was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.