RIVERSIDE HOSPITAL INC


Address: 2244 Executive Dr, Hampton, VA 23666-2430
Phone: 7578271001

RIVERSIDE HOSPITAL INC (NPI# 1053894386) 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) 1053894386
Entity Type Organization
Organization Name RIVERSIDE HOSPITAL INC
Practice Address 2244 Executive Dr
Hampton
VA 23666-2430
Mailing Address 856 J Clyde Morris Blvd Ste A
Newport News
VA 23601-1318
Practice Telephone 7578271001
Practice Fax Number 7578273128
Mailing Telephone 7573165800
Mailing Fax Number 7575345190
Enumeration Date 2018-09-12
Last Update Date 2018-09-12
Authorized Official Name BRADEN MILLER (CFO)
Authorized Official Telephone 7573165800
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Riverside Behavioral Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326045535 Riverside Hospital Inc Hospice Care, Community Based 12420 Warwick Blvd, Ste 7d, Newport News, VA 23606-3055 2005-07-01
1801891023 Riverside Hospital Inc Home Health 856 J Clyde Morris Blvd, Ste C, Newport News, VA 23601-1318 2005-06-15
1649509282 Riverside Hospital Inc Ambulance 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2009-12-10
1366547747 Riverside Hospital Inc General Acute Care Hospital 500 J Clyde Morris Blvd, Newport News, VA 23601 2006-09-13
1811910102 Riverside Hospital Inc Pediatrics 10510 Jefferson Ave, Suite E, Newport News, VA 23601-3102 2006-07-26
1225059991 Riverside Hospital Inc Obstetrics & Gynecology 10510 Jefferson Ave, Suite D, Newport News, VA 23601-3102 2006-07-21
1033130687 Riverside Hospital Inc Internal Medicine 12420 Warwick Blvd, Bldg. 3 Suite 4a, Newport News, VA 23606-3001 2006-07-21
1245256908 Riverside Hospital Inc Family Medicine 10510 Jefferson Ave, Suites A, Newport News, VA 23601-3102 2006-07-14

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities RIVERSIDE HOSPITAL INC. 500 J Clyde Morris Blvd, Newport News, Virginia 23601

Office Location

Street Address 2244 EXECUTIVE DR
City HAMPTON
State VA
Zip Code 23666-2430

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659365989 Shaista Ashai Psychiatry & Neurology 2244 Executive Dr, Hampton, VA 23666-2430 2005-09-01
1134736929 Tasha Washington Nurse Practitioner 2244 Executive Dr, Hampton, VA 23666-2430 2020-09-26
1518576297 Omari Peterkin Nurse Practitioner 2244 Executive Dr, Hampton, VA 23666-2430 2020-07-28
1093339574 Jonathan Greer Cawthon Counselor 2244 Executive Dr, Hampton, VA 23666-2430 2020-06-01
1346873171 Glory Mbong-ngwa Nurse Practitioner 2244 Executive Dr, Hampton, VA 23666-2430 2020-02-20
1134751530 Candace Bynum Lankford Nurse Practitioner 2244 Executive Dr, Hampton, VA 23666-2430 2020-02-04
1679132369 Cheree Latai Faison Nurse Practitioner 2244 Executive Dr, Hampton, VA 23666-2430 2019-06-06
1881158855 Erin M Holland Counselor 2244 Executive Dr, Hampton, VA 23666-2430 2019-01-24
1851871529 Abrian Nicole Wiggins Counselor 2244 Executive Dr, Hampton, VA 23666-2430 2018-08-21
1396225058 Mavis Gaskins Rowe Social Worker 2244 Executive Dr, Hampton, VA 23666-2430 2018-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548824022 Melanin Excellence Medical Transportation Co LLC Non-emergency Medical Transport (VAN) 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 2019-04-30
1952880502 Exquisite Counseling Services LLC Counselor 2703 Build America Drive, Hampton, VA 23666 2018-08-13
1063999811 Speak From The Heart Speech-Language Pathologist 2 Abbott Dr, Hampton, VA 23666 2018-07-24
1245724632 Drashti Khamar Dentist 2040 Coliseum Dr # A27, Hampton, VA 23666 2018-06-19
1750874772 Dion J Roszina Private Vehicle 806 Charlton,dr, Hampton, VA 23666 2018-06-13
1205352481 Crystal Lynn Harris Counselor 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 2017-08-18
1538693361 Marquis A. Norton Counselor 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 2017-04-18
1194181966 Key Elements Care, LLC Case Management 20 Research Dr Ste 600, Hampton, VA 23666 2016-01-11
1740665215 Lauren-grey Gonzales Igel Hearing Instrument Specialist 1507 Hardy Cash Drive, Hampton, VA 23666 2015-07-27
1457758062 Alexandra Levine Acupuncturist 2216 Executive Dr Ste A, Hampton, VA 23666 2014-11-25
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972123107 Jessica Lynn Gray I Social Worker 77 Wall St, Hampton, GA 30228-2000 2020-04-17
1649807132 Brandee Parker Social Worker 260 Marcella Rd Apt 1014, Hampton, VA 23666-2591 2020-03-24
1346875036 Jalanda Monannique Jordan Social Worker 604 Burtons Cv, Hampton, GA 30228-3182 2020-03-03
1861025645 Patti Jo Hammonds-greene Social Worker 11514 Summer Trce, Hampton, GA 30228-2694 2020-02-19
1780221242 Mylira Jervette Green Social Worker 2019 Cunningham Dr Ste 412, Hampton, VA 23666-3318 2019-12-04
1598300857 Lisa Marie Martin Social Worker 1720 N King St, Hampton, VA 23669-1910 2019-11-11
1013559418 Carin Danielle Hamilton Social Worker 2019 Cunningham Dr Ste 301, Hampton, VA 23666-3318 2019-10-17
1326696972 Shonda Mcfield Social Worker 4 Valor Pl, Hampton, VA 23669-2887 2019-08-27
1649740572 Leap Therapeutic Services Social Worker 2110 Hartford Rd Ste B, Hampton, VA 23666-6600 2018-12-04
1528537271 Jamicia Lanece Davis Social Worker 1706 Todds Ln, Hampton, VA 23666-3123 2018-11-23
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Competitor

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City HAMPTON
Zip Code 23666

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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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