RIVERSIDE CONGREGATIONAL HOMES (NPI# 1134124415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134124415 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE CONGREGATIONAL HOMES |
| Other Organization Name | PLYMOUTH TOWER |
| Practice Address |
3401 Lemon St Riverside CA 92501-2817 |
| Practice Telephone | 9516868202 |
| Practice Fax Number | 9517841508 |
| Mailing Telephone | 9516868202 |
| Mailing Fax Number | 9517841508 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STUART HARTMAN (V.P. OF OPERATIONS) |
| Authorized Official Telephone | 5622575100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT18656F | 05 |
| Other Name | Type Code |
|---|---|
| PLYMOUTH TOWER | Doing Business As Name - Organization |
| Street Address |
3401 LEMON ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144885922 | Mission Inn Senior Living LLC | Assisted Living Facility | 3401 Lemon St, Riverside, CA 92501-2861 | 2019-05-07 |
| 1821552621 | Valerie Roach | Occupational Therapist | 3401 Lemon St, Riverside, CA 92501-2861 | 2019-01-25 |
| 1821552639 | Elizabeth Rose Watanabe | Occupational Therapist | 3401 Lemon St, Riverside, CA 92501-2861 | 2019-01-25 |
| 1518439215 | Gabriel Guzman | Occupational Therapist | 3401 Lemon St, Riverside, CA 92501-2861 | 2018-12-19 |
| 1386116085 | Lisa Rae Riverashumway | Physical Therapist | 3401 Lemon St, Riverside, CA 92501-2861 | 2018-12-19 |
| 1245700566 | Tyretel Iancu | Physical Therapist | 3401 Lemon St, Riverside, CA 92501-2861 | 2018-11-29 |
| 1508238726 | The Grove Care and Wellness Center | Custodial Care Facility | 3401 Lemon St, Riverside, CA 92501-2861 | 2015-10-27 |
| 1487889325 | Maxine Seaborn | Licensed Practical Nurse | 3401 Lemon St, Riverside, CA 92501-2861 | 2009-05-21 |
| 1356588826 | Empirecare Health Associates, Inc. | Assisted Living Facility | 3401 Lemon St, Riverside, CA 92501-2861 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| 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 |
|---|---|---|---|---|
| 1336700772 | Riverside Snf, LLC | Skilled Nursing Facility | 17040 Arnold Dr, Riverside, CA 92518-2813 | 2019-06-26 |
| 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 |
| 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.