RIVERDALE ASSISTED LIVING FACILITY (NPI# 1649544701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649544701 |
| Entity Type | Organization |
| Organization Name | RIVERDALE ASSISTED LIVING FACILITY |
| Other Organization Name | N/A |
| Practice Address |
6880 E Raines Rd Memphis TN 38115-5404 |
| Mailing Address |
5100 Stage Rd Ste 2 Bartlett TN 38134-3161 |
| Practice Telephone | 9017954495 |
| Practice Fax Number | 9017296639 |
| Mailing Telephone | 9013883545 |
| Mailing Fax Number | 9013883423 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |
| Authorized Official Name | RHONDA SUZZETTEE WESTBROOKS (OWNER) |
| Authorized Official Telephone | 9014912426 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | ========= | TN | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 112000424 | TN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| N/a | Doing Business As Name - Organization |
| Street Address |
6880 E RAINES RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115-5404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158196 | Americare Tennessee Property Group | Assisted Living Facility | 6880 E Raines Rd, Memphis, TN 38115-5404 | 2019-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| 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 |
|---|---|---|---|---|
| 1417564410 | Lily Healthcare Service | Assisted Living Facility | 4290 Ridgestone Dr Apt 5, Memphis, TN 38128-1837 | 2020-09-24 |
| 1124486154 | Loving Arms, Inc | Assisted Living Facility | 3310 Lockmeade Dr, Memphis, TN 38127-6762 | 2016-02-04 |
| 1316302367 | Legacy Il Operating Co, LLC | Assisted Living Facility | 6539 Knight Arnold Road, Memphis, TN 38115-0697 | 2015-12-17 |
| 1902284060 | Ridgemont Manor, Inc | Assisted Living Facility | 3805 Ridgemont Rd, Memphis, TN 38128-1948 | 2015-05-09 |
| 1073941993 | Audrey Dionne Dillon | Assisted Living Facility | 3679 Ford Rd, Memphis, TN 38109-3614 | 2013-10-31 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1952548125 | Memphis Kg Property, LLC | Assisted Living Facility | 6480 Quince Rd, Memphis, TN 38119-8222 | 2009-01-09 |
| 1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
| 1629224787 | Mahan House | Assisted Living Facility | 4005 N Watkins St, Memphis, TN 38127-4362 | 2008-08-08 |
| 1770784688 | Angelcity Corporation | Assisted Living Facility | 3385 Airways Blvd, Suite 119, Memphis, TN 38116-3841 | 2007-05-29 |
| Find all providers in MEMPHIS | ||||
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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.