Rivers Edge Adult Day Care Incorporated

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

RIVERS EDGE ADULT DAY CARE INCORPORATED

Practice address

422 Martin Rd SE
Palm Bay, FL 32909-3923

Phone

(321) 727-7337

Fax

(321) 727-8970

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Yvonne Theslyn Williams, OWNER-OPPERATOR

Title

Director

Phone

(321) 727-7337

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1245442912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MARTIN RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329093923",
            "telephone_number": "321-727-7337",
            "fax_number": "321-727-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MARTIN RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329093923",
            "telephone_number": "321-727-7337",
            "fax_number": "321-727-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS EDGE ADULT DAY CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "THESLYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-727-7337",
        "authorized_official_credential": "OWNER-OPPERATOR"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "FL",
            "license": "9112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684759500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Riley, PH.D.
• Shanelly Rivas, APRN, FNP-C
• Ashley Paola Rivera Roman, PHARMD
• Garion Rivera
• Sully Rivera, MA
• Road Runner Medical Supplies
• Robert M. Love M.D. PA
• Robert W Underill DMD PA
• Donna Roberts
• John J Roberts, BC-HAS

• Adult Day Care Clinic/Center in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.