Riverside Retirement Villa LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RIVERSIDE RETIREMENT VILLA LLC

Practice address

4609 Arlington Ave
Riverside, CA 92504-2705

Phone

(951) 462-1025

NPI assigned

May 1, 2024

Organization subpart

No

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

Authorized official

Name

Adam Zenou

Title

Manager

Phone

(951) 462-1025

Specialties & licenses 1

Addresses

Other names 1

• Arlington Riverside Senior Community Doing business as

Locations

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1447007141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042705",
            "telephone_number": "951-462-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042705",
            "telephone_number": "951-462-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE RETIREMENT VILLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "ZENOU",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-462-1025"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Riverside Senior Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Riverside, CA
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.