Riviera Manor Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0004473 Issued in IL

Legal business name

RIVIERA MANOR NURSING HOME

Practice address

490 W 16TH PL
Chicago Heights, IL 60411-3224

Phone

(708) 481-4444

Fax

(708) 481-4606

NPI assigned

Jun 13, 2005

Last updated

Aug 22, 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

Mr. Richard S. Potekin, NONE

Title

Administrator

Phone

(708) 481-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• None Other name

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528062098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 W 16TH PL",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113224",
            "telephone_number": "708-481-4444",
            "fax_number": "708-481-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W 16TH PL",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113224",
            "telephone_number": "708-481-4444",
            "fax_number": "708-481-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVIERA MANOR NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTEKIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-481-4444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0004473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00004473",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Rilex
• Christopher Rivera, ND
• Riviera Care Center, LLC (Aperion Care Chicago Heights)
• Riviera Care Center, LLC
• Riviera Care Center, LLC (Aperion Care Chicago Heights)
• Joyce Ann Robinson
• Kimala Robinson
• Daniel Roche I
• Dianna Rodriguez, PTA
• Joseph Paul Rodriguez, D.D.S.

• Skilled Nursing Facility in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.