Organization Active NPI

Rivers of Life

Doing business as Rivers of Life Care Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Snow Hill, NC
National Provider Identifier
1619096187
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL-040-032 Issued in NC
Legal business name
RIVERS OF LIFE
Doing business as
Rivers of Life Care Services
Practice address
216 Glenfield Rd
Snow Hill, NC 28580-8373
Phone
(252) 286-8088
Fax
(252) 747-8412
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Towanda Williams Britt
Title
Owner Supervisor
Phone
(252) 286-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-040-032 NC Primary

Addresses

Primary practice location

216 Glenfield Rd
Snow Hill, NC 28580-8373

Mailing address

216 Glenfield Rd
Snow Hill, NC 28580-8373
Phone (252) 286-8088

Other identifiers 1

IdentifierTypeStateIssuer
7805582MedicaidNC

Other names 1

  • RIVERS OF LIFE CARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rivers of Life3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619096187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 GLENFIELD RD",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285808373",
            "telephone_number": "252-286-8088",
            "fax_number": "252-747-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 GLENFIELD RD",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285808373",
            "telephone_number": "252-286-8088",
            "fax_number": "252-747-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "TOWANDA",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER SUPERVISOR",
        "authorized_official_telephone_number": "252-286-8088",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-040-032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805582",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERS OF LIFE CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snow Hill, NC

Sources for this page

  • 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.