Olympic Holdings Riverview LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

OLYMPIC HOLDINGS RIVERVIEW LLC

Doing business as

Riverview Manor

Practice address

555 E Goodlander Rd
Selah, WA 98942-9467

Phone

(509) 697-3333

NPI assigned

May 2, 2024

Organization subpart

No

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

Authorized official

Name

Jerod Pierce

Title

President

Phone

(406) 240-2486

Specialties & licenses 2

Addresses

Other names 1

• Riverview Manor Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leah Jackson, ARNP

  • Gerontology Nurse Practitioner
  • Boise, ID
  • NPI 1730692989
  NPD (past)

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1336996875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 POST OAK BLVD FL 21",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565797",
            "telephone_number": "406-240-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E GOODLANDER RD",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989429467",
            "telephone_number": "509-697-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC HOLDINGS RIVERVIEW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JEROD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-240-2486"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverview Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan D Leiske DDS PS
• Newman MD Anesthesiology PLLC
• Newman MD Anesthesiology PLLC
• Shonna Lynn Olea, LMT
• Kate Olsen, PHARMD
• Tania Otero
• Diane Paulakis
• Courtney Lyn Peart, LAT, ATC
• Lizeth Perez
• Hongmei Platt, LMP

• Alzheimer Center (Dementia Center) in Selah, WA
• Providers in Selah, WA by specialty
• Alzheimer Center (Dementia Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.