RIVERSIDE RECOVERY SERVICES LLC (NPI# 1518356708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518356708 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE RECOVERY SERVICES LLC |
| Practice Address |
103 2nd Ave Chesapeake OH 45619-1134 |
| Practice Telephone | 7404791173 |
| Mailing Telephone | 7404791173 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |
| Authorized Official Name | MR. TRAVIS W OWENS (OWNER) |
| Authorized Official Telephone | 7406460007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
103 2ND AVE |
| City | CHESAPEAKE |
| State | OH |
| Zip Code | 45619-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354971 | Cayla D Rice | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-10-26 |
| 1053918912 | Lura N Cooper | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-10-05 |
| 1033725890 | Brandi M Nichols | Counselor | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-09-17 |
| 1326651860 | Britany Carrico | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-08-25 |
| 1184235145 | Jamecia L James | Social Worker | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-08-13 |
| 1700495066 | Rosehanna E Plumley | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-07-23 |
| 1679191852 | Kira M Cherry | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-07-14 |
| 1497379887 | Marissa L Moore | Counselor | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-06-02 |
| 1114541562 | Kristy Byrd | Social Worker | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-06-02 |
| 1871129270 | Amber G Wilfong-knight | Social Worker | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644432 | Bridge Pt, LLC | Clinic/Center | 3748 Sr-7, Optional, Chesapeake, OH 45619 | 2020-03-17 |
| 1881183218 | Thomas D Freeze | Case Manager/Care Coordinator | 95 Pvt Dr. 6999 Cr 15, Chesapeake, OH 45619 | 2018-05-01 |
| 1124550892 | Jeremy Ray Knipp | Case Manager/Care Coordinator | 95 Private Drive 6999 # 15, Chesapeake, OH 45619 | 2017-03-31 |
| 1821297292 | Carolyn Sue Mantey | Registered Nurse | 7543 County Road 15, Chesapeake, OH 45619 | 2007-07-16 |
| 1164634085 | Home Sweet Home | Assisted Living Facility | 304 3rd Ave, Chesapeake, OH 45619 | 2007-05-04 |
| 1013138288 | Home Sweet Home | Assisted Living Facility | 302 3rd Ave, Chesapeake, OH 45619 | 2007-05-02 |
| 1427574326 | Rosie Gene Russell | Counselor | 421 Riverside Dr, Chesapeake, OH 45619-1020 | 2017-08-22 |
| 1346735230 | Sean Beckett | Case Manager/Care Coordinator | 421 Riverside Dr, Chesapeake, OH 45619-1020 | 2018-06-25 |
| 1437656725 | Jason Burgard | Case Manager/Care Coordinator | 421 Riverside Dr, Chesapeake, OH 45619-1020 | 2018-04-12 |
| 1013029834 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 517 3rd Ave, Chesapeake, OH 45619-1036 | 2006-08-31 |
| Find all providers in zip 45619 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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|---|---|---|---|---|
| 1053924803 | Foundation of Hope Mental Health Services LLC | Community/Behavioral Health | 857 Hardwood Dr, Chesapeake, VA 23320-9215 | 2020-08-30 |
| 1982253886 | Resourceful Refuge Inc. | Community/Behavioral Health | 3107 Tournament Dr, Chesapeake, VA 23323-2515 | 2019-09-04 |
| 1861974966 | United Community Solutions, LLC | Community/Behavioral Health | 3220 Mistletoe Way, Chesapeake, VA 23323-1042 | 2018-09-05 |
| 1053891333 | The Mahogany Projek, LLC | Community/Behavioral Health | 4012 Spring Meadow Cres, Chesapeake, VA 23321-3118 | 2018-08-16 |
| 1790271625 | Comfortable Living Inc | Community/Behavioral Health | 3940 Airline Blvd Ste 102, Chesapeake, VA 23321-3328 | 2018-07-03 |
| 1013413160 | Innovative Counseling Solutions | Community/Behavioral Health | 118 Great Bridge Blvd, Chesapeake, VA 23320-3902 | 2018-04-05 |
| 1023522547 | Hampton Roads Family Services LLC | Community/Behavioral Health | 2151 S Military Hwy Ste 2, Chesapeake, VA 23320-4426 | 2017-11-20 |
| 1689114621 | Be Well, LLC | Community/Behavioral Health | 741 Huntly Dr, Chesapeake, VA 23320-6650 | 2017-02-23 |
| 1114466257 | Gaines Counseling and Consulting Services | Community/Behavioral Health | 4301 Mast Head Way, Chesapeake, VA 23321-3254 | 2017-02-22 |
| 1962862219 | C&s Quality Care LLC | Community/Behavioral Health | 913 Langshire Cres, Chesapeake, VA 23323-6816 | 2016-02-29 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 45619 |
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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.