NPIMap

Organization Active NPI

Riverside Care, Inc

  • Community/Behavioral Health Agency
  • Bethlehem, PA
National Provider Identifier
1194978585
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
214720 Issued in PA
Legal business name
RIVERSIDE CARE, INC
Practice address
44 E Broad St
Bethlehem, PA 18018-5947
Phone
(610) 868-0435
Fax
(610) 868-5552
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Ms. Adrienne Rotella, MS
Title
Billing Manager
Phone
(610) 635-7445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 214720 PA Primary

Addresses

Primary practice location

44 E Broad St
Bethlehem, PA 18018-5947

Mailing address

PO Box 220
100 Eagleville Rd
Eagleville, PA 19408-0220
Phone (610) 635-7445

Other identifiers 1

IdentifierTypeStateIssuer
1007578550032MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Continuum Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

44 E Broad St
Bethlehem, PA 18018
Phone (570) 420-4551

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1194978585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "address_2": "100 EAGLEVILLE RD",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194080220",
            "telephone_number": "610-635-7445",
            "fax_number": "610-539-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185947",
            "telephone_number": "610-868-0435",
            "fax_number": "610-868-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "ROTELLA",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "610-635-7445",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "214720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007578550032",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.