Four Rivers Management Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FOUR RIVERS MANAGEMENT CORPORATION

Practice address

10830 Oxnard St
North Hollywood, CA 91606-5021

Phone

(818) 763-8247

Fax

(818) 763-0613

NPI assigned

Jan 14, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Karp

Title

President & Ceo

Phone

(818) 821-3897

Specialties & licenses 1

Addresses

Other names 1

• Golden State Colonial Healthcare Center Doing business as

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1326285255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 OXNARD ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916065021",
            "telephone_number": "818-763-8247",
            "fax_number": "818-763-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 OXNARD ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916065021",
            "telephone_number": "818-763-8247",
            "fax_number": "818-763-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR RIVERS MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "KARP",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "818-821-3897",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden State Colonial Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ariel Marie Forman, PT, DPT
• Paul Fortaleza, D.O.
• Cecilia Marie Foster, B.A
• Four Life Hospice Care, Inc.
• Four M Medical Mart a Medical Corporation
• Four Seasons Assisted Living Center LLC
• Four Seasons Healthcare & Wellness Center, LP
• Tiffani Fox
• Irvin Fragoso
• Kristen O. Franco, RDHAP

• Skilled Nursing Facility in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.