Riverside Nursing Home LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

58 Issued in LA

Legal business name

RIVERSIDE NURSING HOME LLC

Doing business as

Riverside Nursing Home

Practice address

3001 S Grand St
Monroe, LA 71202-4152

Phone

(318) 388-3200

Fax

(318) 388-2909

NPI assigned

Sep 11, 2008

Organization subpart

No

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

Authorized official

Name

Kimberly W Delatte

Title

Cfo

Phone

(225) 664-6697

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RIVERSIDE NURSING HOME Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Plantation Management Company, LLC

  dba Valley View Health Care Facility

  • Skilled Nursing Facility
  • Mansura, LA
  • NPI 1982177820

  Member Of

  NPD member

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1639328909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712024152",
            "telephone_number": "318-388-3200",
            "fax_number": "318-388-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712024152",
            "telephone_number": "318-388-3200",
            "fax_number": "318-388-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "DELATTE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-664-6697"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "58",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517810",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Nichole Rinehart
• Julia Nicole Riser
• James Thomas Rittelmeyer, MD
• River City Professional Counseling
• River City Professional Counseling, LLC
• Riverside Nursing Home, LLC (Ouachita Healthcare and Rehabiliation Center)
• Riversouth Rehabilitation Center,Inc (wfs non-emergency medical transportation)
• Riversouth Rehabilitation Center,Inc.
• RL Traylor Enterprises, LLC (The House of Mercy)
• Deandrea Roberson

• Skilled Nursing Facility in Monroe, LA
• Providers in Monroe, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.