Active NPI
Ltach at Riverside, LLC
- Long Term Care Hospital
- Newport News, VA
National Provider Identifier
1245765783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- Legal business name
- LTACH AT RIVERSIDE, LLC
- Practice address
- 500 J Clyde Morris Blvd
4TH Floor East and 4TH Floor Annex
Newport News, VA 23601 - Phone
- (717) 972-1100
- NPI assigned
- Apr 21, 2017
- 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
- John Duggan
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | Primary |
Addresses
Primary practice location
500 J Clyde Morris Blvd
4TH Floor East and 4TH Floor Annex
Newport News, VA 23601
Mailing address
4714 Gettysburg Rd
Legal Dept
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
National Provider Directory
National Provider Directory- Tax ID family
- Ltach at Riverside LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Hospital
- Newport News, VA
- NPI 1073571865
Locations
245 Chesapeake Ave
Fl 2
Newport News, VA 23607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757462400000",
"number": "1245765783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"address_2": "LEGAL DEPT",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "717-972-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 J CLYDE MORRIS BLVD",
"address_2": "4TH FLOOR EAST AND 4TH FLOOR ANNEX",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23601",
"telephone_number": "717-972-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LTACH AT RIVERSIDE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-21",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A",
"authorized_official_last_name": "DUGGAN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.