Riverstreet Healthcare

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

0386640001 Issued in SC

Legal business name

RIVERSTREET HEALTHCARE

Practice address

611 E Hampton St
Anderson, SC 29624-2814

Phone

(864) 226-5054

Fax

(864) 226-5643

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tony Keith Stewart

Title

Asst. Adminstrator

Phone

(864) 226-5054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083785935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E HAMPTON ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296242814",
            "telephone_number": "864-226-5054",
            "fax_number": "864-226-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E HAMPTON ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296242814",
            "telephone_number": "864-226-5054",
            "fax_number": "864-226-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSTREET HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "ASST. ADMINSTRATOR",
        "authorized_official_telephone_number": "864-226-5054",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "SC",
            "license": "0386640001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane W Riester, M.D.
• Nicole Riggs
• Kevin Rinek
• Deborah Michelle Ritter, COTA
• Michael Rivera, MD
• Jessica Goff Rizzo, PHARM.D
• Ricardo Arturo Roa Jr.
• Pete Adam Roach, FNP-BC
• Shannon Marie Robbins, MA, CCC-SLP
• Molly Speight Roberts, PA-C

• Parenteral & Enteral Nutrition Supplies (DME) in Anderson, SC
• Providers in Anderson, SC by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in South Carolina

• 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.