Rivercrest Adult Family Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

717100 Issued in WA

Legal business name

RIVERCREST ADULT FAMILY HOME

Practice address

13013 SE Rivercrest Dr
Vancouver, WA 98683-6600

Phone

(360) 944-8383

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Dorel Singeorzan

Title

Owner

Phone

(360) 944-8383

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Rivercrest Adult Care Home2 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.

• Rivercrest Adult Care Home

  • Adult Care Home Facility
  • Vancouver, WA
  • NPI 1619148434
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Clark Scribner, M.D.

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1841207206
  NPD (past)

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1508107608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13013 SE RIVERCREST DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986836600",
            "telephone_number": "360-944-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13013 SE RIVERCREST DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986836600",
            "telephone_number": "360-944-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCREST ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "SINGEORZAN",
        "authorized_official_first_name": "DOREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-944-8383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "717100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSPS",
            "identifier": "650817",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Maria Rivera, PSYD
• Stacey M Rivera, PHARMD
• Suley Y Rivera, DPT
• Tenley Jean Rivera, M.D.
• Rivercrest Adult Care Home
• Rivers Flow Acupuncture NW, LLC
• Mary Rivers, LPC AND LMHC
• Riverside Afh
• Riverway Counseling
• Kristen Anne Rix, MA

• Adult Care Home Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.