Riverside Village Homes Inc

Organization Active NPI Assisted Living Facility · Leicester, NC

NPI 1114712445 · NPPES record last updated Apr 10, 2025

Key facts

NPI
1114712445
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
RIVERSIDE VILLAGE HOMES INC
Practice address
236 Country Time LN
Leicester, NC 28748-6213
Phone
(910) 417-7351
NPI assigned
Apr 9, 2025
Organization subpart
No

Authorized official

Name
Jessica Clarke
Title
Owner
Phone
(910) 417-7351

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Riverside Village Homes Inc (6 organizations share this tax ID)

Locations

236 Country Time Ln
Leicester, NC 28748

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

236 Country Time LN
Leicester, NC 28748-6213

Mailing address

PO Box 55
Fletcher, NC 28732-0055

Other providers in Leicester, NC

All providers in Leicester, NC · Assisted Living Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.