River Ridge Retirement Village L L C

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D1102188 Issued in MI

Legal business name

RIVER RIDGE RETIREMENT VILLAGE L L C

Doing business as

River Ridge Retirement Village - Laboratory

Practice address

706 Kentucky Ave
South Haven, MI 49090-9607

Phone

(269) 639-7310

NPI assigned

Sep 24, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Nobel

Title

President

Phone

(269) 639-7310

Specialties & licenses 1

Addresses

Other names 1

• River Ridge Retirement Village - Laboratory Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1255640298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 KENTUCKY AVE",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909607",
            "telephone_number": "269-639-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 KENTUCKY AVE",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909607",
            "telephone_number": "269-639-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RIDGE RETIREMENT VILLAGE L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "NOBEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-639-7310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1102188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Ridge Retirement Village - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randall Scott Davis (Shoreline Pharmacy)
• Elizabeth A Rasmussen, MSW
• Renal Care Group Southwest Michigan, LLC (RCG South Haven)
• Ripple Effects Autism Learning Center, LLC
• River Ridge Retirement Village
• Frances Suerte Roden
• Susan Marie Rose-Tapper, RN
• Meghan Rzeszutko, FNP
• Donald Robert Salmon, PA C
• Samantha Simon Counseling, PC

• Clinical Medical Laboratory in South Haven, MI
• Providers in South Haven, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.