NPIMap

Organization Active NPI

Riverside Convalescent Centers, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Hampton, VA
National Provider Identifier
1215043732
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH2666 Issued in VA
Legal business name
RIVERSIDE CONVALESCENT CENTERS, INC.
Practice address
414 Algonquin Rd
Hampton, VA 23661-1605
Phone
(757) 722-9881
Fax
(757) 723-3605
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Mr. Walter W Austin
Title
Senior VP, LTC
Phone
(757) 875-7846

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH2666 VA Primary
Skilled Nursing Facility 314000000X NH2666 VA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NH2666 VA

Addresses

Primary practice location

414 Algonquin Rd
Hampton, VA 23661-1605

Mailing address

608 Denbigh Blvd
Suite 600
Newport News, VA 23608-4410
Phone (757) 875-2023

Other identifiers 1

IdentifierTypeStateIssuer
004953088MedicaidVA

Other names 1

  • Riverside Rehabilitation Center at Hampton 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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1215043732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DENBIGH BLVD",
            "address_2": "SUITE 600",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084410",
            "telephone_number": "757-875-2023",
            "fax_number": "757-875-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ALGONQUIN RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236611605",
            "telephone_number": "757-722-9881",
            "fax_number": "757-723-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CONVALESCENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SENIOR VP, LTC",
        "authorized_official_telephone_number": "757-875-7846",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VA",
            "license": "NH2666",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2666",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "VA",
            "license": "NH2666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004953088",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Rehabilitation Center at Hampton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Rehabilitation Center at Hampton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.