RIVERSIDE REHAB, INC. (NPI# 1922167279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922167279 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE REHAB, INC. |
| Practice Address |
7735 W Riverside Dr Boise ID 83714-6182 |
| Mailing Address |
7711 W. Riverside Dr Garden City ID 83714 |
| Practice Telephone | 2088538536 |
| Practice Fax Number | 2088532929 |
| Mailing Telephone | 2088538536 |
| Mailing Fax Number | 2088532929 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LEE BARTON III (OWNER-PRESIDENT) |
| Authorized Official Telephone | 2088538536 |
| Authorized Official Credential | M.ED.,C.R.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881880540 | Riverside Rehab, Inc. | Chiropractor | 200 E Girard Ave, Phila, PA 19125-3917 | 2007-09-17 |
| Street Address |
7735 W RIVERSIDE DR |
| City | BOISE |
| State | ID |
| Zip Code | 83714-6182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306128046 | Amy Korb | Counselor | 7735 W Riverside Dr, Boise, ID 83714-6182 | 2011-09-19 |
| 1386943744 | Amy Houser | Counselor | 7735 W Riverside Dr, Boise, ID 83714-6182 | 2011-03-23 |
| 1477797116 | Joyce Brandes Hickerson | Counselor | 7735 W Riverside Dr, Boise, ID 83714-6182 | 2009-04-24 |
| 1932343761 | Cheryl Anne Senieur | Counselor | 7735 W Riverside Dr, Boise, ID 83714-6182 | 2009-04-23 |
| 1972775351 | Debra Lee Scholten | Counselor | 7735 W Riverside Dr, Boise, ID 83714-6182 | 2008-03-26 |
| 1831211556 | Riverside Rehab | Social Worker | 7735 W Riverside Dr, Boise, ID 83714-6182 | 2007-04-04 |
| 1184746992 | Riverside Rehab, Inc | Social Worker | 7735 W Riverside Dr, Boise, ID 83714-6182 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425547 | Jennifer Weseman | Counselor | 6305 W Overland Rd Ste 100, Boise, ID 83709-3029 | 2020-07-30 |
| 1801405766 | Kristin Sue Richards | Counselor | 2000 N Larch St, Boise, ID 83706-1020 | 2020-07-27 |
| 1891316972 | Mary Lott | Counselor | 6300 W Denton St, Boise, ID 83704-9326 | 2020-04-30 |
| 1750900429 | Patrick Barga | Counselor | 344 S Latah St Apt 202, Boise, ID 83705-5175 | 2020-04-13 |
| 1184254146 | Emily Diane Bergstrom | Counselor | 2365 N 34th St, Boise, ID 83703-5523 | 2020-01-18 |
| 1073150033 | Allegiance Behavioral Health LLC | Counselor | 1010 N Orchard St Ste 1a, Boise, ID 83706-2255 | 2019-12-09 |
| 1841836178 | Hopeful Connections Parenting, LLC | Counselor | 1027 S Curtis Rd, Boise, ID 83705-1842 | 2019-11-21 |
| 1528601440 | Idaho Federtion of Families | Counselor | 704 N 7th St, Boise, ID 83702-5503 | 2019-10-23 |
| 1073154175 | A Better Life Counseling Pllc | Counselor | 4948 W Kootenai St Ste 102, Boise, ID 83705-2081 | 2019-10-01 |
| 1265087522 | Rosalie Lacivita | Counselor | 921 S Orchard St Ste 100, Boise, ID 83705-1916 | 2019-08-05 |
| Find all providers in BOISE | ||||
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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.