Riverside Hospital of Louisiana, Inc.

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

RIVERSIDE HOSPITAL OF LOUISIANA, INC.

Doing business as

Riverside Hospital of Louisiana

Practice address

13 Heyman LN
Alexandria, LA 71303-3574

Phone

(318) 767-2900

Fax

(318) 442-4505

NPI assigned

Mar 31, 2006

Last updated

Oct 3, 2025By 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. Wade Lester

Title

Group President

Phone

(318) 684-6050

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Riverside Hospital of Louisiana Doing business as

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1629039193. Details of each certification follow.

• CCN 192043 Hospital · Active · Details
• CCN 19TA43 Hospital · Details

Hospital certification: CCN 192043

Legal name

RIVERSIDE HOSPITAL OF LOUISIANA, INC.

Doing business as

RIVERSIDE HOSPITAL

Certification status

Active

Provider type (POS)

Hospital – Long-term

Participating since

Aug 1, 2003

Last certification

Apr 5, 2025

Beds

28

Ownership / control type

Private (for profit)

Organization structure

CorporationProprietary

Incorporated

May 21, 2002 in DE

Enrollment address

13 Heyman LN
Alexandria, LA 71303-3574
Main/Primary Hospital Location

Hospital subgroups

Long-term

Hospital certification: CCN 19TA43

Legal name

RIVERSIDE HOSPITAL OF LOUISIANA, INC.

Doing business as

RIVERSIDE HOSPITAL OF LOUISIANA, INC

Organization structure

CorporationProprietary

Incorporated

May 21, 2002 in DE

Enrollment address

13 Heyman LN
Alexandria, LA 71303-3574
Hospital Rehabilitation Unit

Hospital subgroups

Rehabilitation unit

Listed as

Riverside Hospital DpuCCN 19TA43 · All quality measures

Ownership

For profit

Certified

Jul 1, 2020

Listed as

Riverside Hospital of LouisianaCCN 192043 · All quality measures

Ownership

For profit

Certified

Aug 1, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Beds

28

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• SCC of Houma LLC

  dba Chateau Terrebonne Health Care

  • Skilled Nursing Facility
  • Houma, LA
  • NPI 1750305223

  Smak Holdings, LLC

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajat Gulati, MD

  • Nephrology Physician
  • Alexandria, LA
  • NPI 1992972152
  NPD (past)
• Benjamin Newsom, M.D.

  • Internal Medicine Physician
  • Alexandria, LA
  • NPI 1619233236
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rajat Gulati, MD

  • Nephrology Physician
  • Alexandria, LA
  • NPI 1992972152

  Inpatient rehabilitation facility

  Care Compare affiliation
• Benjamin Newsom, M.D.

  • Internal Medicine Physician
  • Alexandria, LA
  • NPI 1619233236

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1629039193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112443",
            "telephone_number": "318-684-6050",
            "fax_number": "318-684-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HEYMAN LN",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033574",
            "telephone_number": "318-767-2900",
            "fax_number": "318-442-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HOSPITAL OF LOUISIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "GROUP PRESIDENT",
        "authorized_official_telephone_number": "318-684-6050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60554",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Hospital of Louisiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Hospital of Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kimberly B Rivers, APRN, PMHNP-BC
• Lindsay Rivers
• Syed Bilal Akhtar Rizvi, MD
• April Baum Roach, NP
• Robert E. Schroeder, M.D., Apmc
• Robert Smith LLC (Home Town Doctors)
• Amanda Roberts

• Long Term Care Hospital in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Long Term Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.