Riverside Builders LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

2705085777 Issued in VA

Legal business name

RIVERSIDE BUILDERS LLC

Practice address

130 Swift Creek LN
Colonial Heights, VA 23834-1631

Phone

(804) 837-1771

NPI assigned

Jul 6, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Charles J Felts II

Title

President

Phone

(804) 837-1771

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1346736014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SWIFT CREEK LN",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341631",
            "telephone_number": "804-837-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SWIFT CREEK LN",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341631",
            "telephone_number": "804-837-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE BUILDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "FELTS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-837-1771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "VA",
            "license": "2705085777",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "2705085777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "570018379016",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard W Bates DDS
• Richard W. Bates DDS
• William Kyle Richardson, DPT
• Rite Aid of Virginia Inc
• Riversbend Hospitalists P.C.
• Lakeisha Yvonne Rives
• Richard Fleming Roadcap, D.D.S.
• Alexis Robinson
• Tabitha Nicole Robinson
• Patricia Jo Rodgers, D.O.

• Home Modifications Contractor in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Home Modifications Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.