RIVERSIDE AFH (NPI# 1427490887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427490887 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE AFH |
| Practice Address |
7410 Se Evergreen Hwy Vancouver WA 98664-1718 |
| Practice Telephone | 3605973835 |
| Practice Fax Number | 3605974654 |
| Mailing Telephone | 3605973835 |
| Mailing Fax Number | 3605974654 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | MR. RON AYRES (OWNER) |
| Authorized Official Telephone | 3605973835 |
| Authorized Official Credential | RCP, RPSGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 566200 | WA | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | RIVERSIDE AFH, LLC | 315 Algona Blvd S, Algona, WA 98001 |
| Street Address |
7410 SE EVERGREEN HWY |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285000216 | Leta Ayres Delegation Services | Clinical Nurse Specialist | 7410 Se Evergreen Hwy, Vancouver, WA 98664 | 2015-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114494432 | Columbia Vista Afh Inc | Assisted Living Facility | 7418 Se Evergreen Hwy, Vancouver, WA 98664-1718 | 2018-10-24 |
| 1629517529 | Ai Helmer | Assisted Living Facility | 13011 Ne 71st St, Vancouver, WA 98682-4861 | 2017-02-13 |
| 1912271289 | Retirement Centers Northwest Inc | Assisted Living Facility | 7808 Ne 51st St, Vancouver, WA 98662-6207 | 2012-03-02 |
| 1518239409 | Merrill Gardens, LLC | Assisted Living Facility | 10011 Ne 118th Ave, Vancouver, WA 98682-2784 | 2012-02-07 |
| 1043582208 | Windsor Gardens Inc. | Assisted Living Facility | 1602 Ne 162nd Ave, Vancouver, WA 98684-9426 | 2012-02-03 |
| 1790066793 | Glenwood Place Senior Living, LLC | Assisted Living Facility | 5500 Ne 82nd Ave, Vancouver, WA 98662-9410 | 2011-09-02 |
| 1447584594 | Park Lido, Inc. | Assisted Living Facility | 8422 Ne 8th Way, Vancouver, WA 98664-1974 | 2009-09-22 |
| 1992825921 | Vancouver Senior Living, LLC | Assisted Living Facility | 17171 Se 22nd Dr, Vancouver, WA 98683-3309 | 2007-03-31 |
| 1457477994 | Assisted Living Concepts Inc | Assisted Living Facility | 2610 Se 164th Avenue, Vancouver, WA 98683 | 2007-03-22 |
| 1447387626 | Hazel Dell Ventures LLC | Assisted Living Facility | 7514 Ne 13th Ave, Vancouver, WA 98665-0458 | 2007-02-27 |
| Find all providers in VANCOUVER | ||||
Please comment or provide details below to improve the information on RIVERSIDE AFH.
| 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.