NPIMap

Organization Active NPI

Riveridge Investments & Associates, LLC

  • Skilled Nursing Facility
  • Niles, MI
National Provider Identifier
1164413282
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
114050 Issued in MI
Legal business name
RIVERIDGE INVESTMENTS & ASSOCIATES, LLC
Doing business as
Riveridge Manor
Practice address
1333 Wells St
Niles, MI 49120-1543
Phone
(269) 684-1111
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Mr. Craig D. Taylor
Title
Chief Manager
Phone
(423) 308-1845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 114050 MI Primary

Addresses

Primary practice location

1333 Wells St
Niles, MI 49120-1543

Mailing address

1333 Wells St
Niles, MI 49120-1543
Phone (269) 684-1111

Other identifiers 1

IdentifierTypeStateIssuer
604111840MedicaidMI

Other names 1

  • Riveridge Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1164413282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 WELLS ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201543",
            "telephone_number": "269-684-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WELLS ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201543",
            "telephone_number": "269-684-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERIDGE INVESTMENTS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "423-308-1845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "114050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604111840",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riveridge Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.