RIVERSIDE RETIREMENT SERVICE, INC


Address: 319 Brown St, Petersburg, VA 23803-4247
Phone: 7573695137

RIVERSIDE RETIREMENT SERVICE, INC (NPI# 1447537758) 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) 1447537758
Entity Type Organization
Organization Name RIVERSIDE RETIREMENT SERVICE, INC
Other Organization Name RIVERSIDE PACE
Practice Address 319 Brown St
Petersburg
VA 23803-4247
Mailing Address 1020 Old Denbigh Blvd
Newport News
VA 23602-2017
Practice Telephone 7573695137
Mailing Telephone 7578752050
Mailing Fax Number 7578752070
Enumeration Date 2011-11-15
Last Update Date 2011-11-15
Authorized Official Name CRAIG CONNORS (VP COMMUNITY BASED SERVICES)
Authorized Official Telephone 7578752050
Is Organization Subpart Y
Parent Organization Name RIVERSIDE HEALTHCARE ASSOCIATION, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251T00000X PACE Provider Organization Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE CONTRACT NUMBER H8655 01

Other Provider/Organization Names

Other Name Type Code
Riverside PACE Doing Business As Name - Organization

Office Location

Street Address 319 BROWN ST
City PETERSBURG
State VA
Zip Code 23803-4247

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619523719 Wise Journey Ltd Home Health 325-b Brown Street Suite 132, Petersburg, VA 23803 2019-08-14
1386101699 Marliqua Barnes Driver 601 Carter St, Petersburg, VA 23803 2019-02-22
1356596571 Quality Healthcare Inc Community/Behavioral Health 6111 Duncan Rd, Ste F, Petersburg, VA 23803 2008-12-02
1861614943 Peoples Family Dental Care Dentist 1328 W Washington St, Petersburg, VA 23803 2007-05-02
1841333721 Family Preservation Services, Inc Community/Behavioral Health 1000 Patterson Ave, Petersburg, VA 23803 2007-02-14
1154473155 Progressive Adult Rehabilitation Center, Inc. Day Training, Developmentally Disabled Services 114 North Union Street, Suite B, Petersburg, VA 23803 2007-01-18
1861556615 Evelyn V. Whitehead Counselor 115 E Wythe St, Petersburg, VA 23803 2006-12-19
1538248778 Raymond Gibson Smith Jr. Dentist Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 2006-11-06
1396842282 Eugene Arthur Richardson IIi Dentist 23 Shore Street, Petersburg, VA 23803 2006-09-20
1679594030 Olumuyiwa Akinniyi Ojediran Internal Medicine 734 South Sycamore Street, Petersburg, VA 23803 2006-07-21
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Taxonomy Information

Taxonomy Code 251T00000X
Grouping Agencies
Classification PACE Provider Organization

Taxonomy Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871951376 True Select, LLC PACE Provider Organization 3949 Pender Dr., Suite 230, Fairax, VA 22030 2016-01-29
1780059840 The Long Advocacy Group PACE Provider Organization 483 Main Street, Warsaw, VA 22572 2015-12-01
1629410402 Born Again Ministries PACE Provider Organization 2545 Murray Ave, Norfolk, VA 23518-4521 2013-07-22
1407296957 Charlottesville Area Retirement Service, Inc. PACE Provider Organization 1335 Carlton Ave, Charlottesville, VA 22902-5813 2013-06-28
1346684974 Innovage Virginia Pace - Roanoke Valley, LLC PACE Provider Organization 5251 Concourse Dr, Roanoke, VA 24019-3081 2013-04-25
1033483839 Inovacares for Seniors PACE Provider Organization 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 2012-02-27
1194098848 Riverside Retirement Service PACE Provider Organization 439 Oriana Road, Newport News, VA 23608 2012-02-10
1952547614 Due Season Hospice and Homecare Agency, Inc PACE Provider Organization 3806 Chamberlayne Ave Ste 18a, Richmond, VA 23227-4110 2008-12-31
1366629610 Wise Enterprise, Incorporated PACE Provider Organization 4895 Burnham Rd, Richmond, VA 23234-3711 2008-01-29
1184807661 Mountain Empire Older Citizens, Inc. PACE Provider Organization 1-a Industrial Park Drive, Big Stone Gap, VA 24219-0888 2007-12-07
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Competitor

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City PETERSBURG
Zip Code 23803

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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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