St Albans Operating Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

46 Issued in WV

Legal business name

ST ALBANS OPERATING COMPANY LLC

Doing business as

Riverside Health & Rehabilitation Center

Practice address

6500 Maccorkle Ave
Saint Albans, WV 25177-2326

Phone

(304) 768-0002

NPI assigned

Jan 18, 2017

Last updated

Nov 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kelle C Santoro

Title

Sr Director a/R

Phone

(832) 467-5728

Specialties & licenses 1

Addresses

Other names 1

• Riverside Health & Rehabilitation Center Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1467998138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415161",
            "telephone_number": "832-467-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 MACCORKLE AVE",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772326",
            "telephone_number": "304-768-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ALBANS OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR DIRECTOR A/R",
        "authorized_official_telephone_number": "832-467-5728",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMDR eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Riverside Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Spencer
• Britany Nicole Spencer, PRSS
• Tanille Marie Spencer, LMT
• Craig C Spicer, DDS
• Holli Spry
• St. Albans Integrative Health Center
• Desiree Beth Stambaugh
• Kristina Beth Stambaugh
• Sherie Stanley
• Pamela Starkey

• Skilled Nursing Facility in Saint Albans, WV
• Providers in Saint Albans, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.