Riverside Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RIVERSIDE LIVING INC

Practice address

23500 NE Halsey St
Wood Village, OR 97060-2815

Phone

(503) 328-9246

Fax

(503) 328-9285

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Jen Schnitzer

Title

Director of Operations

Phone

(541) 601-7228

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Riverside Living 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

Locations

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1154948255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 SE 154TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23500 NE HALSEY ST",
            "city": "WOOD VILLAGE",
            "state": "OR",
            "postal_code": "970602815",
            "telephone_number": "503-328-9246",
            "fax_number": "503-328-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "SCHNITZER",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "541-601-7228"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519872",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Patrick Petersen
• Megan Louise Pollock
• Alison Joy Priest, CPHT
• Garin Masaichi Rabacal, PHARM D
• Claudia G Ramirez Cisneros, DOULA
• Cosmo Salibello, O.D.
• Ann-Marie Segarra
• Anna Tamay-Ek
• Nancy Urzua Medina
• Nina Valter

• Assisted Living Facility in Wood Village, OR
• Providers in Wood Village, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.