Riverside Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0194 Issued in IA

Legal business name

RIVERSIDE SENIOR LIVING

Practice address

209 Park Dr
Charles City, IA 50616-1619

Phone

(641) 228-2800

Fax

(641) 228-3886

NPI assigned

Dec 5, 2006

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

CHAUTAUQUA GUEST HOMES, INC.As reported in NPPES

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

Authorized official

Name

Mr. David F Ayers, LNHA

Title

Administrator

Phone

(641) 228-2800

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Chautauqua Guest Homes3 organizations share this tax ID, including this one

Part of

Chautauqua Guest Homes

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Chautauqua Guest Homes Inc.

  • Skilled Nursing Facility
  • Charles City, IA
  • NPI 1093708323
  NPD tax ID
• Chautauqua Guest Homes, Inc.

  • Skilled Nursing Facility
  • Charles City, IA
  • NPI 1538161971
  NPD tax ID

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1376601997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PARK DRIVE",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "50616",
            "telephone_number": "641-228-2800",
            "fax_number": "641-228-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PARK DR",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506161619",
            "telephone_number": "641-228-2800",
            "fax_number": "641-228-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SENIOR LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAUTAUQUA GUEST HOMES, INC.",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-228-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473231",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucas James Pogemiller, D.C.
• Becky Ann Prostine, MPH, RDLD
• Quality Medical Services Inc
• Amanda Lea Rausch, D.P.T.
• Rise Therapy, LLC.
• Robert Chiropractic PLLC
• Richard M Robert, DC
• Joanne Robinson, ARNP
• Wendy Ross
• Paul Henry Royer, MD FACC

• Assisted Living Facility in Charles City, IA
• Providers in Charles City, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.