NPIMap

Organization Active NPI

Riverside Assisted Living

  • Assisted Living Facility
  • Burlington, NC
National Provider Identifier
1477723047
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL-001-126 Issued in NC
Legal business name
RIVERSIDE ASSISTED LIVING
Practice address
350 N. Sellars Mill
Burlington, NC 27217-1827
Phone
(336) 513-0396
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Ms. Brandy Renee Dodson
Title
Administrator
Phone
(336) 264-5299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL-001-126 NC Primary

Addresses

Primary practice location

350 N. Sellars Mill
Burlington, NC 27217-1827

Mailing address

350 N. Sellars Mill
Burlington, NC 27215-1827
Phone (336) 513-0396

National Provider Directory

National Provider Directory
Tax ID family
Riverside Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1477723047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N. SELLARS MILL",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272151827",
            "telephone_number": "336-513-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N. SELLARS MILL",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171827",
            "telephone_number": "336-513-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-264-5299",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-001-126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.