Organization Active NPI

House on the Riviera Assisted Living

  • Assisted Living Facility
  • Lake Havasu City, AZ
National Provider Identifier
1114200664
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8084H Issued in AZ
Legal business name
HOUSE ON THE RIVIERA ASSISTED LIVING
Practice address
190 Riviera Dr.
Lake Havasu City, AZ 86403
Phone
(928) 855-1133
Fax
(928) 855-1133
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Mrs. Crystal Eve La Plante
Title
Owner/ Manager
Phone
(928) 855-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8084H AZ Primary

Addresses

Primary practice location

190 Riviera Dr.
Lake Havasu City, AZ 86403

Mailing address

190 Riviera Dr
Lake Havasu City, AZ 86403-5735
Phone (928) 855-1133

Other identifiers 1

IdentifierTypeStateIssuer
527150MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1114200664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 RIVIERA DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035735",
            "telephone_number": "928-855-1133",
            "fax_number": "928-855-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 RIVIERA DR.",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "86403",
            "telephone_number": "928-855-1133",
            "fax_number": "928-855-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE ON THE RIVIERA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "LA PLANTE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "EVE",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "928-855-1133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8084H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "527150",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.