Active NPI
Riverside Commons Rehab and Nursing Center LLC
- Skilled Nursing Facility
- Dearborn, MI
National Provider Identifier
1457206856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0873319 | Riverside Commons Rehab and Nursing Center | Certificate of waiver | Jul 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.