Riverstreet Center Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RIVERSTREET CENTER OPCO LLC

Practice address

440 N River St
Wilkes Barre, PA 18702-2631

Phone

(570) 825-5611

Fax

(570) 824-6488

NPI assigned

Mar 5, 2021

Organization subpart

No

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

Authorized official

Name

Avital Rosenzweig

Title

Authorized Member

Phone

(717) 543-4401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 395691

Legal name

RIVERSTREET CENTER OPCO LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 5, 1985

Last certification

Sep 6, 2024

Beds

122

Ownership / control type

Corporation

Multi-facility organization

Panacea Health Org

Organization structure

LLCProprietary

Incorporated

Jan 4, 2021 in PA

Enrollment address

440 North River Street
Wilkes Barre, PA 18702-2631

Nursing home name

RIVERSTREET MANOR

Listed as

Riverstreet ManorCCN 395691

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Mar 5, 1985

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

122112.3 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

1Fines totaling $8,278

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Kilduff, D.O.

  • Internal Medicine Physician
  • Wilkes Barre, PA
  • NPI 1003857186
  NPD (past)
• Basant Kumar Mittal, M.D.

  • Internal Medicine Physician
  • Kingston, PA
  • NPI 1558427377
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Patrick Kilduff, D.O.

  • Internal Medicine Physician
  • Wilkes Barre, PA
  • NPI 1003857186

  Nursing home

  Care Compare affiliation
• Basant Kumar Mittal, M.D.

  • Internal Medicine Physician
  • Kingston, PA
  • NPI 1558427377

  Nursing home

  Care Compare affiliation
• Jon J Olenginski, DO

  • Internal Medicine Physician
  • Nanticoke, PA
  • NPI 1033164215

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1144815788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022631",
            "telephone_number": "570-825-5611",
            "fax_number": "570-824-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022631",
            "telephone_number": "570-825-5611",
            "fax_number": "570-824-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSTREET CENTER OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "ROSENZWEIG",
        "authorized_official_first_name": "AVITAL",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "717-543-4401"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Pennsylvania LLC
• Emily Ritterbeck, M.S., CCC-SLP
• George Ritz III
• River Street Associates
• Ivette Rivera
• Daniah Rizwan, M.D.
• Erin Roberts, MS, CCC-SLP
• Gabrielle Cristina Roberts, PA-C
• Lindsey Roberts
• Richard Robinson, CRNP

• Skilled Nursing Facility in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.