RIVERSIDE SNF, LLC (NPI# 1336700772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336700772 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE SNF, LLC |
| Practice Address |
17040 Arnold Dr Riverside CA 92518-2813 |
| Mailing Address |
7400 24th St Sacramento CA 95822-5350 |
| Practice Telephone | 9516972100 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | RICHARD MARTIN (OWNER) |
| Authorized Official Telephone | 9164224825 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
17040 ARNOLD DR |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92518-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603301 | William Donald | Emergency Medical Technician, Paramedic | March Air Reserve Base, Moreno Valley, CA 92518 | 2020-06-10 |
| 1861011876 | Monika Ellyn Garcia | Student in an Organized Health Care Education/Training Program | 14350 Meridian Parkway Box #2, Riverside, CA 92518 | 2020-04-09 |
| 1558906164 | Jasmine Feely | Registered Nurse | 5770 Riverside Dr Bldg 601, 752 Medical Squadron, March Arb, CA 92518 | 2019-11-07 |
| 1952957375 | April Blum | Nurse Practitioner | 14200 Meridian Parkway, # 101, Riverside, CA 92518 | 2019-08-12 |
| 1902463094 | Dale Timothy Hoang | Student in an Organized Health Care Education/Training Program | 14350-2 Meridian Pkwy, Riverside, CA 92518 | 2019-05-23 |
| 1619534716 | Karen Stacy Clarey | Student in an Organized Health Care Education/Training Program | 14350-2 Meridian Parkway, Riverside, CA 92518 | 2019-05-23 |
| 1528548070 | Holly Stevenson | Registered Nurse | 5770 Riverside Dr., Bldg 601, 752d Medical Squadron, March Arb, CA 92518 | 2018-08-15 |
| 1275058026 | James Lee Mitchener IIi | Registered Nurse | 5770 Riverside Drive, Building 601, 752 Medical Squadron, March Arb, CA 92518 | 2017-08-12 |
| 1710400239 | Dominique B. Horne | Registered Nurse | 5770 Riverside Dr. Bldg 601, 752 Medical Squadron, March Arb, CA 92518 | 2017-07-18 |
| 1891150918 | Irene Peralta | Registered Nurse | 770 Riverside Dr., Bldg 601, March Arb, CA 92518 | 2015-12-16 |
| Find all providers in zip 92518 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497168496 | Riverside Villa | Skilled Nursing Facility | 3495 Jefferson St, Riverside, CA 92504-3519 | 2014-06-06 |
| 1093057143 | 100 Wampanoag Trail Operating Company, LLC | Skilled Nursing Facility | 100 Wampanoag Trl, Riverside, RI 02915-3736 | 2013-03-26 |
| 1700186590 | Community Care Rehab Center LLC | Skilled Nursing Facility | 4070 Jurapa Ave, Riverside, CA 92506-2234 | 2010-10-26 |
| 1366643603 | Mutual Care Management, Inc. | Skilled Nursing Facility | 9025 Colorado Ave, Riverside, CA 92503-2157 | 2007-05-31 |
| 1497972624 | Riverside Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 4700 Nw Cliffview Drive, Riverside, MO 64150-1237 | 2007-04-19 |
| 1700912458 | Hattie Ide Chaffee Nursing Home Inc | Skilled Nursing Facility | 200 Wampanoag Trl, Riverside, RI 02915-2206 | 2007-02-26 |
| 1588734164 | Vista Pacifica Enterprises Inc. | Skilled Nursing Facility | 3674 Pacific Ave, Riverside, CA 92509-1948 | 2006-11-09 |
| 1730275769 | Trinity Oakland, Inc | Skilled Nursing Facility | 8487 Magnolia Ave, Riverside, CA 92504-3222 | 2006-10-05 |
| 1902902828 | F. & B. Health Care | Skilled Nursing Facility | 8171 Magnolia, Riverside, CA 92504 | 2006-09-16 |
| 1245343334 | Wilmon Corporation | Skilled Nursing Facility | 8951 Granite Hill Dr, Riverside, CA 92509-1104 | 2006-08-16 |
| Find all providers in RIVERSIDE | ||||
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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.