River Health Systems LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

2221-2005 Issued in WV

Legal business name

RIVER HEALTH SYSTEMS LLC

Practice address

711 C Street
Ceredo, WV 25507

Phone

(304) 453-4663

Fax

(304) 453-1103

NPI assigned

Jul 16, 2015

Organization subpart

No

Name

Mrs. Cathy Sue Queen, RN

Title

Owner

Phone

(304) 453-4663

• Right At Home of the Rivercities Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 16, 2015.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1376927640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 C STREET",
            "address_2": "PO BOX 1450",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "25507",
            "telephone_number": "304-453-4663",
            "fax_number": "304-453-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 C STREET",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "25507",
            "telephone_number": "304-453-4663",
            "fax_number": "304-453-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-453-4663",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WV",
            "license": "2221-2005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right At Home of the Rivercities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Ceredo, WV
• In Home Supportive Care Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.