Riverside Care Center, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RIVERSIDE CARE CENTER, INC

Doing business as

Tiffany On The River

Practice address

402 N Riverside Dr
New Smyrna Beach, FL 32168-6740

Phone

(386) 423-1120

Fax

(386) 957-3770

NPI assigned

Nov 7, 2023

Organization subpart

No

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

Authorized official

Name

Sandra Venord Dorval

Title

Owner/Administrator

Phone

(321) 947-6368

Specialties & licenses 1

Addresses

Other names 1

• Tiffany On The River Doing business as

Practitioners 1

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

• Caleb Dorval

  • Behavior Analyst
  • Orlando, FL
  • NPI 1750908521
  NPD

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1619741063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N RIVERSIDE DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686740",
            "telephone_number": "386-423-1120",
            "fax_number": "386-957-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N RIVERSIDE DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686740",
            "telephone_number": "386-423-1120",
            "fax_number": "386-957-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "DORVAL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "VENORD",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "321-947-6368"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffany On The River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rescue Care Chiropractic LLC
• Michelle Lynn Reynolds, PT
• Peter Riga, D.O.
• Angela Kay Ritten, DNP, APRN, FNP-BC
• Robert Larry Ritter, R.PH.
• Cayleen Rizo, OTR/L
• Robert J Kennerley PHD PA
• Robert Sabljak
• Robert W Mosca DO PA
• Taylor Eileen Roberts, APRN

• Assisted Living Facility in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.