Active NPI
KJD Incorporated
Doing business as The Riverview
- Skilled Nursing Facility
- Saint Louis, MO
National Provider Identifier
1568466076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 031299
- Legal business name
- KJD INCORPORATED
- Doing business as
- The Riverview
- Practice address
- 5500 S Broadway
Saint Louis, MO 63111-2025 - Phone
- (314) 353-5900
- Fax
- (314) 353-5907
- NPI assigned
- Jun 13, 2005
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 031300 | MO | |
| Skilled Nursing Facility | 314000000X | 031299 | 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 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179678 | Other | MO | BLUE CROSS BLUE SHIELD |
| 107837106 | Medicaid | MO |
Other names 1
- THE RIVERVIEW
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Saint Louis, MO
- NPI 1558444646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243468800000",
"number": "1568466076",
"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": "KJD INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-13",
"last_updated": "2009-05-28",
"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": "031300",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "031299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "179678",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107837106",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE RIVERVIEW",
"code": "3",
"type": "Doing Business As"
}
]
}
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 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.