Riverside Assisted Living Soldotna, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

101025 Issued in AK

Legal business name

RIVERSIDE ASSISTED LIVING SOLDOTNA, INC.

Practice address

390 Lovers LN
Soldotna, AK 99669-7946

Phone

(907) 398-5513

NPI assigned

Sep 10, 2013

Organization subpart

No

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

Authorized official

Name

Cory Castagneto

Title

Executive Director

Phone

(907) 398-5513

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1467887349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 LOVERS LN",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 LOVERS LN",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697946",
            "telephone_number": "907-398-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE ASSISTED LIVING SOLDOTNA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "CASTAGNETO",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-398-5513"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RLX",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCX",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tasha Marie Rine, RN BSN
• Kjell B Risung, P.T
• River Health & Wellness, LLC.
• Riverquest Group Home, Inc.
• Dorothy Rivers
• Micah Aaron Robert, APRN
• Allison Grace Roberts
• Georganne Roberts
• Jantina Marie Roberts
• Julie Roberts

• Assisted Living Facility in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.