River'S Edge Homecare, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RIVER'S EDGE HOMECARE, LLC.

Practice address

1910 Pacific Ave Ste 6047
Dallas, TX 75201-4559

Phone

(682) 772-0900

Fax

(682) 228-5838

NPI assigned

Apr 5, 2015

Organization subpart

No

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

Authorized official

Name

Regina Wren

Title

Administrator

Phone

(682) 772-0900

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1428192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1104211267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 PACIFIC AVE STE 6047",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014559",
            "telephone_number": "682-772-0900",
            "fax_number": "682-228-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 PACIFIC AVE STE 6047",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014559",
            "telephone_number": "682-772-0900",
            "fax_number": "682-228-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER'S EDGE HOMECARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-05",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "682-772-0900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reginawren@riversedgehomecare.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "1910 Pacific Ave Ste 6047",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752014559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edgar Rivas, PHARMD
• Homero Rivas, MD
• Maria Del Carmen Rivas, CRNA
• Sarai Claribel Rivas, CRNA
• Stefanie Rivas, NP
• Glorimar Rivera Colon, M.D.
• Jeschell M. Rivera Cordero, DMD
• Carla Alexandra Rivera Hitzschky
• Nicole Rivera Morales, DC
• Yadira M Rivera Sanchez, MD

• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.