Traditions at Rivertown Park, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TRADITIONS AT RIVERTOWN PARK, LLC

Practice address

3555 Copper River Ave SW
Wyoming, MI 49418-9791

Phone

(616) 258-2727

Fax

(616) 258-2717

NPI assigned

Sep 13, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Judy Amiano

Title

President and Ceo

Phone

(331) 318-5200

Specialties & licenses 1

Addresses

Other names 1

• Rivertown Ridge 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": "1599955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599955200000",
    "number": "1306451679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 COPPER RIVER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494189791",
            "telephone_number": "616-258-2727",
            "fax_number": "616-258-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 COPPER RIVER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494189791",
            "telephone_number": "616-258-2727",
            "fax_number": "616-258-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONS AT RIVERTOWN PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A",
        "authorized_official_last_name": "AMIANO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "331-318-5200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivertown Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rafael Torres, M.D
• Katrina Tortonesi
• Allie C Toth, MD
• Jessica Totten
• London Townsend
• Mark Traill, MD
• Huyen Thu Tran, PHARMD.
• Kayla Tran
• Loan Tran
• Diane Sue Traver, R.D. PH.D. C.D.E.

• Assisted Living Facility in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.