NPIMap

Organization Active NPI

Riverside Rehab, Inc

  • Social Worker
  • Boise, ID
National Provider Identifier
1184746992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
RIVERSIDE REHAB, INC
Practice address
7735 W Riverside Dr
Boise, ID 83714-6182
Phone
(208) 853-8536
Fax
(208) 853-2929
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lee Barton
Title
Owner-President
Phone
(208) 853-8536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

7735 W Riverside Dr
Boise, ID 83714-6182

Mailing address

7711 W Riverside Dr
Boise, ID 83714-6182
Phone (208) 853-8536

National Provider Directory

National Provider Directory
Tax ID family
Riverside Rehab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7735 W Riverside Dr
Boise, ID 83714
Phone (208) 853-2797

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184746992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 W RIVERSIDE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146182",
            "telephone_number": "208-853-8536",
            "fax_number": "208-853-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7735 W RIVERSIDE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146182",
            "telephone_number": "208-853-8536",
            "fax_number": "208-853-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "208-853-8536"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.