Organization Active NPI

Riverview Nursing Facility LLC

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1518289925
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
037869 Issued in MO
Legal business name
RIVERVIEW NURSING FACILITY LLC
Practice address
5500 S Broadway
Saint Louis, MO 63111-2025
Phone
(314) 353-5900
Fax
(314) 353-5907
NPI assigned
Feb 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Mr. Dean Daigger
Title
Administrator
Phone
(314) 353-5900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 037870 MO
Skilled Nursing Facility 314000000X 037869 MO Primary

Addresses

Primary practice location

5500 S Broadway
Saint Louis, MO 63111-2025

Mailing address

5500 S Broadway
Saint Louis, MO 63111-2025
Phone (314) 353-5900

Other identifiers 1

IdentifierTypeStateIssuer
107837106MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1518289925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112025",
            "telephone_number": "314-353-5900",
            "fax_number": "314-353-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112025",
            "telephone_number": "314-353-5900",
            "fax_number": "314-353-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "DAIGGER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-353-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "037870",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "037869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107837106",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.