Riverside Rehabilitation and Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RIVERSIDE REHABILITATION AND HEALTHCARE CENTER, LLC

Practice address

575 Stonewall Jackson Blvd
Orangeburg, SC 29115-7250

Phone

(803) 534-7771

NPI assigned

Jun 9, 2014

Last updated

Oct 13, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

NEW ARK OPERATOR HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Michelle D Meer

Title

Vice President & Secretary

Phone

(629) 626-0000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1427461235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 STONEWALL JACKSON BLVD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291157250",
            "telephone_number": "803-534-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 STONEWALL JACKSON BLVD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291157250",
            "telephone_number": "803-534-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW ARK OPERATOR HOLDINGS, LLC",
        "enumeration_date": "2014-06-09",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "MEER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "629-626-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C858NF",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NF1055",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquetta Riley
• Patrick B. Riley, CRNA
• Jose Antonio Rivera Jr.
• Riverbend Endocrine & Wellness LLC
• Rodney Rivers
• Robert L Smoak (Robert L Smoak, MD)
• Robert L Smoak (Robert L Smoak MD)
• Candace Michelle Robinson, APRN, FNP-BC
• Glenn Robinson, CACII
• Latasha R Robinson, M.A., NCAC I, LPC

• Skilled Nursing Facility in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.