Rivers Edge of Lumberton LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RIVERS EDGE OF LUMBERTON LLC

Practice address

550 Bailey Rd
Lumberton, NC 28358-2424

Phone

(843) 754-5147

NPI assigned

Oct 28, 2020

Organization subpart

No

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

Authorized official

Name

Davance Locklear

Title

Owner

Phone

(843) 754-5147

Specialties & licenses 1

Addresses

Other names 1

• RIVERS EDGE OF LUMBERTON Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1124628219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 CHERRY PLUM DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067443",
            "telephone_number": "843-754-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BAILEY RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582424",
            "telephone_number": "843-754-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS EDGE OF LUMBERTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "DAVANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-754-5147"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERS EDGE OF LUMBERTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ricas Angels Home Health Care LLC
• Barbara Richardson
• Patrick J. Ricotta, DPM
• Riverbend Services Inc.
• Riverbend Services, Inc.
• Michael John Riznyk, P.A.
• Amy L Roberts, CRNA
• Joseph Earl Roberts Jr., M.D.
• Whitnee Roberts, NP
• Robeson Behavioral Health PC

• Assisted Living Facility in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.