Organization Active NPI

KJD Incorporated

Doing business as The Riverview

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1568466076
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031299 Issued in MO
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

Updated by the provider on May 28, 2009

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 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

IdentifierTypeStateIssuer
179678OtherMOBLUE CROSS BLUE SHIELD
107837106MedicaidMO

Other names 1

  • THE RIVERVIEW Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.