Riverside Village Homes Inc
Organization Active NPI Assisted Living Facility · Black Mountain, NC
NPI 1306200597 · NPPES record last updated Oct 26, 2023
Key facts
- NPI
- 1306200597
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- FCL-011 (NC)
- Legal business name
- RIVERSIDE VILLAGE HOMES INC
- Practice address
- 132 Center Ave
Black Mountain, NC 28711-3509 - Phone
- (910) 417-7351
- NPI assigned
- Apr 13, 2016
- Organization subpart
- No
Authorized official
- Name
- Jessica Clarke
- Title
- Owner
- Phone
- (910) 417-7351
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Riverside Village Homes Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | FCL-011 | NC | Yes |
Addresses
Primary practice location
132 Center Ave
Black Mountain, NC 28711-3509
Mailing address
PO Box 897
Black Mountain, NC 28711-0897
Phone (910) 417-7351
NPI Registry JSON
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698278400000",
"number": "1306200597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 897",
"city": "BLACK MOUNTAIN",
"state": "NC",
"postal_code": "287110897",
"telephone_number": "910-417-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 CENTER AVE",
"city": "BLACK MOUNTAIN",
"state": "NC",
"postal_code": "287113509",
"telephone_number": "910-417-7351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE VILLAGE HOMES INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-13",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A",
"authorized_official_last_name": "CLARKE",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-417-7351"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NC",
"license": "FCL-011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Black Mountain, NC
- Joshua David Reeves
- Regency Care of Black Mountain, LLC
- Richard W. Wiedeman, DDS, PA
- Jessica Bhakti Ringle
- Rise Autism Therapy
- Riverside Village Homes Inc
- Riverside Village Homes Inc
- Oleymis Saco
- Safe Haven Counseling WNC, PLLC
- Jared Scott Sanders
All providers in Black Mountain, NC · Assisted Living Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.