Organization Active NPI

River Ridge Living Center, LLC

Doing business as The Providers, Inc.

  • Skilled Nursing Facility
  • Amsterdam, NY
National Provider Identifier
1285632877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0460026 Issued in NY
Legal business name
RIVER RIDGE LIVING CENTER, LLC
Doing business as
The Providers, Inc.
Practice address
100 Sandy Dr
Amsterdam, NY 12010-8191
Phone
(518) 843-3503
Fax
(518) 843-3537
NPI assigned
Jul 8, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Heather E Reynicke
Title
Business Manager
Phone
(518) 843-3503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0460026 NY Primary

Addresses

Primary practice location

100 Sandy Dr
Amsterdam, NY 12010-8191

Mailing address

100 Sandy Dr
Amsterdam, NY 12010-8191
Phone (518) 843-3503

Other identifiers 1

IdentifierTypeStateIssuer
00308787MedicaidNY

Other names 1

  • The Providers, Inc. Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1069003River Ridge Living Center LLC100 Sandy Drive, Amsterdam, NY 12010Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Montgomery County5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Sandy Dr
Amsterdam, NY 12010
Phone (518) 727-6708

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285632877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SANDY DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120108191",
            "telephone_number": "518-843-3503",
            "fax_number": "518-843-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SANDY DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120108191",
            "telephone_number": "518-843-3503",
            "fax_number": "518-843-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RIDGE LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNICKE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "518-843-3503",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0460026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308787",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Providers, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.