Active NPI
The River Gardens Rehab & Care Center
- Skilled Nursing Facility
- Bullhead City, AZ
National Provider Identifier
1417900606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NCI-2660
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.