NPIMap

Organization Active NPI

Riverside Retirement Services, Inc.

  • PACE Provider Organization
  • Richmond, VA
National Provider Identifier
1497990857
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
RIVERSIDE RETIREMENT SERVICES, INC.
Doing business as
Riverside PACE
Practice address
701 Gordon Ave
Richmond, VA 23224-7019
Phone
(804) 549-5500
Fax
(757) 549-5529
NPI assigned
Dec 12, 2008
Organization subpart
Yes
Parent organization
RIVERSIDE HEALTHCARE ASSOCIATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Mr. Craig Connors
Title
Executive Director
Phone
(757) 875-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

701 Gordon Ave
Richmond, VA 23224-7019

Mailing address

1020 Old Denbigh Blvd
Newport News, VA 23602-2017

Other identifiers 1

IdentifierTypeStateIssuer
H8655OtherMEDICARE H-NUMBER

Other names 1

  • Riverside PACE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Retirement Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1497990857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 OLD DENBIGH BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236022017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GORDON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232247019",
            "telephone_number": "804-549-5500",
            "fax_number": "757-549-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE RETIREMENT SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE HEALTHCARE ASSOCIATION, INC.",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-875-2050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE H-NUMBER",
            "identifier": "H8655",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside PACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.