RIVER'S EDGE ASSISTED LIVING LLC (NPI# 1194355164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194355164 |
| Entity Type | Organization |
| Organization Name | RIVER'S EDGE ASSISTED LIVING LLC |
| Practice Address |
1315 Rockledge Dr Rockledge FL 32955-3717 |
| Mailing Address |
Po Box 185 Cocoa FL 32923-0185 |
| Practice Telephone | 4072721321 |
| Mailing Telephone | 4072721321 |
| Mailing Fax Number | 3214005190 |
| Enumeration Date | 2020-01-18 |
| Last Update Date | 2020-01-18 |
| Authorized Official Name | KEISHA ARASHIA RAINES (OWNER) |
| Authorized Official Telephone | 4072721321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
1315 ROCKLEDGE DR |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1841721230 | Lasalle Assisted Living Rockledge LLC | Assisted Living Facility | 3545 Murrell Rd, Rockledge, FL 32955-4706 | 2017-03-27 |
| 1245603190 | Jacob's Ladder IIi Family Alf | Assisted Living Facility | 1504 S Fiske Blvd, Rockledge, FL 32955-2515 | 2015-11-01 |
| 1326438763 | Lorig and Lorig | Assisted Living Facility | 3131 Gatlin Dr, Rockledge, FL 32955-7017 | 2015-01-23 |
| 1881035202 | Rosescott Inc | Assisted Living Facility | 5806 Indigo Crossing Dr, Rockledge, FL 32955-6017 | 2013-07-14 |
| 1174961171 | Enclave Assisted Living | Assisted Living Facility | 1394 Enclave Dr, Rockledge, FL 32955-6261 | 2013-06-12 |
| 1326485715 | Living Southern Style of Brevard | Assisted Living Facility | 821 Georgia Ave, Rockledge, FL 32955-2022 | 2013-05-27 |
| 1073956249 | Open Arms With Love Inc | Assisted Living Facility | 834 Faull Dr, Rockledge, FL 32955-2762 | 2013-04-08 |
| 1609129840 | Mel-mar Enterprises, Inc | Assisted Living Facility | 965 Florida Ave S, Rockledge, FL 32955-2129 | 2012-10-25 |
| 1992064729 | Jacobsladder Family | Assisted Living Facility | 946 Brunswick Ln, Rockledge, FL 32955-4070 | 2012-05-14 |
| Find all providers in ROCKLEDGE | ||||
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| 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.