Active NPI
River Ridge Living Center, LLC
Doing business as The Providers, Inc.
- Skilled Nursing Facility
- Amsterdam, NY
National Provider Identifier
1285632877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0460026
- 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, 2020
- 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
- Ms. Heather E Reynicke
- Title
- Business Manager
- Phone
- (518) 843-3503
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00308787 | Medicaid | NY |
Other names 1
- The Providers, Inc.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1069003 | River Ridge Living Center LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Montgomery County
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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.