RIVERSIDE SENIOR LIVING (NPI# 1376601997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376601997 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE SENIOR LIVING |
| Practice Address |
209 Park Dr Charles City IA 50616-1619 |
| Mailing Address |
209 Park Drive Charles City IA 50616 |
| Practice Telephone | 6412282800 |
| Practice Fax Number | 6412283886 |
| Mailing Telephone | 6412282800 |
| Mailing Fax Number | 6412283886 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MR. DAVID F AYERS (ADMINISTRATOR) |
| Authorized Official Telephone | 6412282800 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | Y |
| Parent Organization Name | CHAUTAUQUA GUEST HOMES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | S0194 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0473231 | 05 |
| Street Address |
209 PARK DR |
| City | CHARLES CITY |
| State | IA |
| Zip Code | 50616-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011443 | Wendy Ross | Technician | 1645 Shadow Ave, Charles City, IA 50616 | 2019-09-04 |
| 1306387899 | West Quality Air Systems | Durable Medical Equipment & Medical Supplies | 206 N Main St., Suite 1, Charles City, IA 50616 | 2017-03-16 |
| 1376709873 | North Iowa Mercy Clinics | Nurse Practitioner | 1413 S Grand Ave, Charles City, IA 50616 | 2008-08-04 |
| 1710056288 | Lorne Allen Johnson | Psychologist | 800 11th Street, Charles City, IA 50616 | 2006-11-07 |
| 1245242924 | Greig R Grimm | Dentist | 703 N Main St Ste C, Charles City, IA 50616 | 2006-08-12 |
| 1710947734 | Joseph Paul Molnar | Family Medicine | 1501 S Main St, Ste. 6, Charles City, IA 50616 | 2006-03-24 |
| 1235564477 | Kayla Anne Kellogg | Nurse Practitioner | 800 11th St, Charles City, IA 50616 | 2013-09-06 |
| 1346210408 | Floyd County Memorial Hospital Commission | Emergency Medicine | 800 11th St, Charles City, IA 50616 | 2006-01-23 |
| 1720284524 | Comprehensive Systems, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1700 Clark Street, Charles City, IA 50616-0457 | 2007-06-27 |
| 1437535838 | Aaron Huegel | Physical Therapist | 515 Sunset Pl, Charles City, IA 50616-1634 | 2015-08-07 |
| Find all providers in zip 50616 | ||||
| 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 |
|---|---|---|---|---|
| 1306979513 | Sanvig Enterprises, Inc | Assisted Living Facility | 801 Blunt Pkwy, Suite 39, Charles City, IA 50616-2205 | 2007-03-14 |
| 1427274992 | Acc Enterprise, LLC | Assisted Living Facility | 807 5th St, Charles City, IA 50616-3303 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739582 | Countryhouse Cedar Rapids LLC | Assisted Living Facility | 5710 Gibson Drive Ne, Cedar Rapids, IA 52411 | 2020-10-27 |
| 1912504366 | Algona Ia Assisted Living Facility LLC | Assisted Living Facility | 512 N Finn Dr, Algona, IA 50511-7228 | 2020-10-07 |
| 1295349207 | Keystone North Liberty, LLC | Assisted Living Facility | 1275 W Forevergreen Rd, North Liberty, IA 52317-8533 | 2020-09-08 |
| 1316557218 | Rock Valley Assisted Living LLC | Assisted Living Facility | 712 Westview Dr, Rock Valley, IA 51247-7619 | 2020-08-05 |
| 1962011262 | Heartland Health Management, Inc. | Assisted Living Facility | 126 W Stonebrook Dr, Mount Pleasant, IA 52641-2686 | 2020-07-23 |
| 1972125003 | Arhc Phcrpia01 Trs, LLC | Assisted Living Facility | 2903 F Ave Nw, Cedar Rapids, IA 52405-2909 | 2020-05-12 |
| 1740812072 | Spirit Lake Senior Operator, LLC | Assisted Living Facility | 2810 Aurora Ave, Spirit Lake, IA 51360-7055 | 2020-02-05 |
| 1679112841 | Arhc Psindia01 Trs | Assisted Living Facility | 505 Enterprise Dr, Independence, IA 50644-9603 | 2020-01-05 |
| 1356996177 | Abilit Holdings (hawthorne Crossing) LLC | Assisted Living Facility | 601 Hawthorne Crossing Dr Se, Bondurant, IA 50035-1376 | 2019-08-08 |
| 1881253151 | Hammond Center, LLC | Assisted Living Facility | 907 Orchard Dr, Grinnell, IA 50112-2075 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
| City | CHARLES CITY |
| Zip Code | 50616 |
Please comment or provide details below to improve the information on RIVERSIDE SENIOR LIVING.
| 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.