Riverside Manor Adult Day Health Care Center L.L.C.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

4019N9 Issued in NJ

Legal business name

RIVERSIDE MANOR ADULT DAY HEALTH CARE CENTER L.L.C.

Practice address

699 Cross St
Lakewood, NJ 08701-4610

Phone

(732) 370-9400

NPI assigned

Mar 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Miller

Title

Manager

Phone

(732) 370-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053438002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 CROSS ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 CROSS ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014610",
            "telephone_number": "732-370-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MANOR ADULT DAY HEALTH CARE CENTER L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-370-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "4019N9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8723303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River USA Inc (River Home Care)
• River USA Inc (River ABA)
• River USA Inc
• Alissa Rivera, MA, LAC, NCC
• Gabriela Margarita Rivera
• Riverwood Dental LLC (Alpine Dental)
• RMK Medical, LLC
• Elisa Robbins
• Anne Roberts, PA-C
• Brenda Roberts, BCBA

• Adult Day Care Clinic/Center in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.