RIVERSIDE RECOVERY OF TAMPA, LLC (NPI# 1619415197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619415197 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE RECOVERY OF TAMPA, LLC |
| Practice Address |
4004 N. Riverside Dr. Tampa FL 33603 |
| Practice Telephone | 8132968308 |
| Practice Fax Number | 8134335222 |
| Mailing Telephone | 8132968308 |
| Mailing Fax Number | 8134335222 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | BLAKE CASPER (MANAGER, REGISTERED OFFICIAL) |
| Authorized Official Telephone | 8132968308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
4004 N. RIVERSIDE DR. |
| City | TAMPA |
| State | FL |
| Zip Code | 33603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
| 1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
| 1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
| 1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
| 1013281328 | Susan Tita-bakare | Pharmacist | 701 West Dr M,l.k. Jr Blvd, Suite 1, Tampa, FL 33603 | 2012-03-05 |
| Find all providers in zip 33603 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992266704 | Behavioral Health Solutions of Tampa, LLC | Substance Abuse Rehabilitation Facility | 210 W Beach Pl, Tampa, FL 33606-2318 | 2019-03-26 |
| 1871046243 | Fast Food Healing LLC | Substance Abuse Rehabilitation Facility | 35 Biscayne Ave, Tampa, FL 33606-3715 | 2016-08-02 |
| 1225409972 | Satonia Renae Johnson | Substance Abuse Rehabilitation Facility | 7413 Sherren Dr., Tampa, FL 33619-4737 | 2015-10-07 |
| 1396079489 | Anewu of Tampa, LLC | Substance Abuse Rehabilitation Facility | 1123 Marbella Plaza Dr, Tampa, FL 33619-7905 | 2009-09-23 |
| 1972612539 | Turning Point of Tampa, Inc | Substance Abuse Rehabilitation Facility | 6227 Sheldon Rd, Tampa, FL 33615-3100 | 2006-08-29 |
| 1558315127 | James A. Haley Veterans Hospital | Substance Abuse Rehabilitation Facility | 11707 Club Dr, Tampa, FL 33612-5521 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
| 1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
| 1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
| 1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
| 1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
| 1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
| 1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
| 1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
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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.