Active NPI
Riverview SNF Operator LLC
- Skilled Nursing Facility
- Pleasant Valley, IA
National Provider Identifier
1205429255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RIVERVIEW SNF OPERATOR LLC
- Practice address
- 17990 Spencer Rd
Pleasant Valley, IA 52767-1205 - Phone
- (563) 332-4600
- NPI assigned
- Feb 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bruce Wertheim
- Title
- Sole Member
- Phone
- (813) 347-9453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
17990 Spencer Rd
Pleasant Valley, IA 52767-1205
Mailing address
15310 Amberly Dr Ste 102
Tampa, FL 33647-2145
Phone (813) 347-9453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210720001359 | IA | Part A Provider - Skilled Nursing Facility | 8820491400 | Practice locations: Pleasant Valley, IA |
Skilled nursing facility certification: CCN 165376
- Legal name
- RIVERVIEW SNF OPERATOR LLC
- Doing business as
- ASPIRE OF PLEASANT VALLEY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1998
- Last certification
- Sep 9, 2024
- Beds
- 44
- Ownership / control type
- Corporation
- Multi-facility organization
- Beacon Health-Mission Health Communities
- Organization structure
- LLC
- Enrollment address
- 17990 Spencer Rd
Pleasant Valley, IA 52767-1205 - Nursing home name
- ASPIRE OF PLEASANT VALLEY
- Affiliated entity
- BEACON HEALTH MANAGEMENT
Care Compare: Nursing home
Medicare Care Compare- Listed as
- River Valley Nursing and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1998
- Medicare certification status
- Active
- Certified beds
- 44
- Chain
- Beacon Health Management
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | May 14, 2021 | ||
| Riverview Property Holdings, LLC | Adp of the SNF | May 14, 2021 | |
| Bruce E Wertheim | Indirect Ownership Interest | May 14, 2021 | 100% |
| Hawkeye Investors, LLC | Adp of the SNF | May 14, 2021 | |
| Adp of the SNF | May 14, 2021 | ||
| Everest Management Solutions LLC | Operational/Managerial Control | Nov 1, 2025 | |
| Adp of the SNF | Oct 31, 2025 | ||
| Adp of the SNF | May 14, 2021 | ||
| Stanley Mathew | Operational/Managerial Control | Nov 4, 2024 | |
| Adp of the SNF | Nov 4, 2024 | ||
| Adp of the SNF | May 14, 2021 | ||
| Brooke Vondal | Operational/Managerial Control | Dec 9, 2023 | |
| Adp of the SNF | Dec 9, 2023 | ||
| Nci Hawkeye Holdings, LLC | Adp of the SNF | May 14, 2021 | |
| Adp of the SNF | May 14, 2021 | ||
| Adp of the SNF | May 14, 2021 | ||
| Michael Flanagan | Operational/Managerial Control | Nov 4, 2024 | |
| Managing Control - Governing Body | Nov 4, 2024 | ||
| Black Hawk Healthcare, LLC | 5% Or Greater Direct Ownership Interest | May 14, 2021 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Medicine & Rehabilitation Physician
- Cedar Rapids, IA
- NPI 1003053653
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613692800000",
"number": "1205429255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15310 AMBERLY DR STE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472145",
"telephone_number": "813-347-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17990 SPENCER RD",
"city": "PLEASANT VALLEY",
"state": "IA",
"postal_code": "527671205",
"telephone_number": "563-332-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERVIEW SNF OPERATOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A",
"authorized_official_last_name": "WERTHEIM",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "813-347-9453",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Valley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.