River'S Edge Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RIVER'S EDGE ASSISTED LIVING LLC

Practice address

1315 Rockledge Dr
Rockledge, FL 32955-3717

Phone

(407) 272-1321

NPI assigned

Jan 18, 2020

Organization subpart

No

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

Authorized official

Name

Keisha Arashia Raines

Title

Owner

Phone

(407) 272-1321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579305600000",
    "number": "1194355164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329230185",
            "telephone_number": "407-272-1321",
            "fax_number": "321-400-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ROCKLEDGE DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553717",
            "telephone_number": "407-272-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER'S EDGE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-18",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "ARASHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-272-1321"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Michelle Richardson
• Right Medical Care
• Right Mind Counseling and Consultation
• Ann Marie Riordan, A.C.S.W., L.C.S.W.
• Mary Carol Riordan, RN
• Dianelis Rivera Alonso, RBT
• Antonio Rivera, MD
• Rivercoast Anesthesia, P.a.
• Syed Ashter Rizvi, MBBS, MD
• Nessa Mattea Roach, MASSAGE THERAPSIT

• Assisted Living Facility in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.