River City Residences, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

911-01001 Issued in VA

Legal business name

RIVER CITY RESIDENCES, LLC

Practice address

10201 Duryea Dr
Richmond, VA 23235-1705

Phone

(804) 323-5959

Fax

(804) 323-5959

NPI assigned

Dec 6, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald A. Wallace

Title

Executive Director

Phone

(804) 307-6908

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1073796694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 DURYEA DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351705",
            "telephone_number": "804-323-5959",
            "fax_number": "804-323-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 DURYEA DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351705",
            "telephone_number": "804-323-5959",
            "fax_number": "804-323-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY RESIDENCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-307-6908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "VA",
            "license": "911-01001",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "VA",
            "license": "911-01001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River City Integrative Counseling
• River City Medical LLC
• River City Midwifery LLC
• River City Performance Therapy, PLLC (River City Performance Therapy)
• River City Psych
• River City Residential Services, LLC
• River City Surgical, PLLC
• River Elite Performance
• River Road TMS, LLC
• River Run Dental of Libbie Mill, PLLC (River Run Dental)

• Intellectual Disabilities Intermediate Care Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Intellectual Disabilities Intermediate Care Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.