Organization Active NPI

Riverdale Health Group LLC

  • Home Health Agency
  • Chattanooga, TN
National Provider Identifier
1427552280
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RIVERDALE HEALTH GROUP LLC
Practice address
100 W M L King Blvd
716
Chattanooga, TN 37402
Phone
(423) 313-5338
Fax
(423) 313-5338
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Mrs. Jennifer Sue Carter-Robinson, RHIT
Title
Business Office Director
Phone
(678) 677-1758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TN Primary

Addresses

Primary practice location

100 W M L King Blvd
716
Chattanooga, TN 37402

Mailing address

100 W M L King Blvd
Suite 716
Chattanooga, TN 37402-2560
Phone (423) 313-5338

National Provider Directory

National Provider Directory

Locations

200 W Martin L King Blvd
#1035B
Chattanooga, TN 37402

200 W Martin L King Blvd
Ste 1035B
Chattanooga, TN 37402

100 W Martin L King Blvd
Ste 716
Chattanooga, TN 37402
Phone (423) 313-5338

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1427552280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W M L KING BLVD",
            "address_2": "SUITE 716",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022560",
            "telephone_number": "423-313-5338",
            "fax_number": "423-373-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W M L KING BLVD",
            "address_2": "716",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37402",
            "telephone_number": "423-313-5338",
            "fax_number": "423-313-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "CARTER-ROBINSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "678-677-1758",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.