Organization Active NPI

The River Gardens Rehab & Care Center

  • Skilled Nursing Facility
  • Bullhead City, AZ
National Provider Identifier
1417900606
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCI-2660 Issued in AZ
Legal business name
THE RIVER GARDENS REHAB & CARE CENTER
Practice address
2150 Silver Creek Rd
Bullhead City, AZ 86442
Phone
(928) 763-8700
Fax
(928) 704-7184
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Dean Charles Kidder
Title
Ceo
Phone
(928) 718-4852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCI-2660 AZ Primary

Addresses

Primary practice location

2150 Silver Creek Rd
Bullhead City, AZ 86442

Mailing address

2150 Silver Creek Road
Bullhead City, AZ 86442
Phone (928) 763-8700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1417900606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 SILVER CREEK ROAD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-763-8700",
            "fax_number": "928-704-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 SILVER CREEK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-763-8700",
            "fax_number": "928-704-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIVER GARDENS REHAB & CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "KIDDER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-718-4852"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-2660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.