Organization Active NPI

Rivers Home Care Service, LLC.

  • Nurse's Aide
  • Savannah, GA
National Provider Identifier
1306475942
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
RIVERS HOME CARE SERVICE, LLC.
Practice address
1608 Chevy Chase Rd
Savannah, GA 31415-7809
Phone
(912) 436-2397
NPI assigned
Apr 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Octavia Rivers, C.N.A.
Title
Owner
Phone
(912) 436-2397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

1608 Chevy Chase Rd
Savannah, GA 31415-7809

Mailing address

1608 Chevy Chase Rd
Savannah, GA 31415-7809
Phone (912) 436-2397

Other identifiers 1

IdentifierTypeStateIssuer
1235797408OtherGAOCTAVIA RIVERS

Other names 1

  • Octavia Rivers Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1306475942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 CHEVY CHASE RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314157809",
            "telephone_number": "912-436-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 CHEVY CHASE RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314157809",
            "telephone_number": "912-436-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS HOME CARE SERVICE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-436-2397",
        "authorized_official_credential": "C.N.A."
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCTAVIA RIVERS",
            "identifier": "1235797408",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Octavia Rivers",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.