Organization Active NPI

Riverside Commons Rehab and Nursing Center LLC

  • Skilled Nursing Facility
  • Dearborn, MI
National Provider Identifier
1457206856
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RIVERSIDE COMMONS REHAB AND NURSING CENTER LLC
Practice address
16391 Rotunda Dr
Dearborn, MI 48120-1172
Phone
(313) 253-9700
NPI assigned
Mar 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Moshe Gottlieb
Title
Member
Phone
(718) 807-1941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

16391 Rotunda Dr
Dearborn, MI 48120-1172

Mailing address

1200 River Ave Ste 7B-18
Lakewood, NJ 08701-5657
Phone (718) 807-1941

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0873319Riverside Commons Rehab and Nursing Center16391 Rotunda Drive, Dearborn, MI 48120Certificate of waiverJul 22, 2027

National Provider Directory

National Provider Directory

Locations

1200 River Ave
Ste 7B18
Lakewood, NJ 08701

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1457206856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RIVER AVE STE 7B-18",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015657",
            "telephone_number": "718-807-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16391 ROTUNDA DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201172",
            "telephone_number": "313-253-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COMMONS REHAB AND NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-807-1941"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.