Organization Active NPI

The Adolphus Group, LLC

Doing business as Riverwood Assisted Living

  • Assisted Living Facility
  • Dobson, NC
National Provider Identifier
1134518038
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL086014 Issued in NC
Legal business name
THE ADOLPHUS GROUP, LLC
Doing business as
Riverwood Assisted Living
Practice address
711 W Atkins St
Dobson, NC 27017-9027
Phone
(336) 386-8516
NPI assigned
Jan 15, 2015
Last updated
Jan 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Patti Miller
Title
Director
Phone
(336) 386-8516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL086014 NC Primary

Addresses

Primary practice location

711 W Atkins St
Dobson, NC 27017-9027

Mailing address

137 Stratford PL
Dobson, NC 27017-8501
Phone (336) 466-0011

Other names 1

  • Riverwood Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2056967Riverwood Assisted Living Facility711 W Atkins St, Dobson, NC 27017Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1134518038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 STRATFORD PL",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178501",
            "telephone_number": "336-466-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W ATKINS ST",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270179027",
            "telephone_number": "336-386-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ADOLPHUS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-386-8516"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL086014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverwood Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dobson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.