RIVERSIDE CONVALESCENT CENTERS, INC. (NPI# 1215043732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215043732 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE CONVALESCENT CENTERS, INC. |
| Other Organization Name | RIVERSIDE REHABILITATION CENTER AT HAMPTON |
| Practice Address |
414 Algonquin Rd Hampton VA 23661-1605 |
| Mailing Address |
608 Denbigh Blvd Suite 600 Newport News VA 23608-4410 |
| Practice Telephone | 7577229881 |
| Practice Fax Number | 7577233605 |
| Mailing Telephone | 7578752023 |
| Mailing Fax Number | 7578752016 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-10-29 |
| Authorized Official Name | MR. FRANK MICHAEL MARTIN (SENIOR VP, LTC) |
| Authorized Official Telephone | 7578752050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | NH2666 | VA | Nursing & Custodial Care Facilities |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
NH2666 | VA | Suppliers |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH2666 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004953088 | 05 |
| Other Name | Type Code |
|---|---|
| Riverside Rehabilitation Center at Hampton | Doing Business As Name - Organization |
| Street Address |
414 ALGONQUIN RD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23661-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740748938 | Donna J Hutzler | Social Worker | 414 Algonquin Rd, Hampton, VA 23661-1605 | 2019-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852639 | Britteny Nicole Stone-joel | Nurse Practitioner | 614 Rolfe Street, Hampton, VA 23661 | 2020-08-19 |
| 1629408521 | Julie Elizabeth Hoegger | Nurse Practitioner | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23661 | 2013-11-14 |
| 1548594435 | Haley Durrette Logan | Chiropractor | 593 Aberdeen Rd, Hampton, VA 23661 | 2009-09-24 |
| 1003347535 | Angela Mcdowell | Social Worker | 701 Howmet Dr Ste 160, Hampton, VA 23661-1001 | 2017-03-26 |
| 1487276200 | Family Restoration Services | Community/Behavioral Health | 701 Howmet Dr Ste 160, Hampton, VA 23661-1001 | 2020-05-14 |
| 1033231279 | United & Empowered Care, Inc. | Skilled Nursing Facility | 916 Glenrock Dr, Hampton, VA 23661-1017 | 2007-04-06 |
| 1235771536 | Valencia Jackson | Registered Nurse | 914 Thornbriar Ct, Hampton, VA 23661-1026 | 2019-10-08 |
| 1881107589 | Helping Everyone Live Progressively, LLC | Clinic/Center | 703 Howmet Dr Ste A, Hampton, VA 23661-1093 | 2017-11-16 |
| 1649315011 | Versability Resources, Inc. | Intermediate Care Facility, Mentally Retarded | 2520 58th Street, Hampton, VA 23661-1228 | 2007-02-21 |
| 1922015577 | Versability Resources, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2520 58th St, Hampton, VA 23661-1228 | 2006-08-02 |
| Find all providers in zip 23661 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811071103 | Franklin General Hospital | Nursing Facility/Intermediate Care Facility | 1720 Central Ave E, Hampton, IA 50441-1859 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1831510262 | Sunnyside Presbyterian Home | Nursing Facility/Intermediate Care Facility | 600 University Blvd Ste L, Harrisonburg, VA 22801-3763 | 2014-01-03 |
| 1962843805 | Caring Hands Facilitators | Nursing Facility/Intermediate Care Facility | 1600 Selma Pl, Richmond, VA 23223-1281 | 2013-07-08 |
| 1699111864 | Able Support Facilitators | Nursing Facility/Intermediate Care Facility | 5 Stratford Dr, 113, Fishersville, VA 22939-2145 | 2013-05-15 |
| 1477835569 | Genesis Rehab Services | Nursing Facility/Intermediate Care Facility | 200 W Uhler Ter, Alexandria, VA 22301 | 2011-09-14 |
| 1447491394 | Lakewood Manor Baptist Retirement Community | Nursing Facility/Intermediate Care Facility | 1900 Lauderdale Dr, Richmond, VA 23238-3902 | 2009-03-23 |
| 1376784488 | The Glebe, Inc. | Nursing Facility/Intermediate Care Facility | 200 The Glebe Blvd, Daleville, VA 24083-3722 | 2009-03-19 |
| 1518160191 | Department of Veterans Affairs | Nursing Facility/Intermediate Care Facility | 19508 Mccray Dr, Abingdon, VA 24211-6838 | 2007-06-09 |
| 1457561003 | Virginia United Methodist Homes, Inc. | Nursing Facility/Intermediate Care Facility | 23610 North St, Onancock, VA 23417-2024 | 2007-05-23 |
| 1154535334 | Powhatan Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 2100 Powhatan St, Falls Church, VA 22043-1940 | 2007-05-09 |
| 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.