Riverwood Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RIVERWOOD HEALTHCARE LLC

Practice address

9009 Forest Lane
Dallas, TX 75243

Phone

(972) 783-1771

NPI assigned

Aug 31, 2012

Organization subpart

No

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

Authorized official

Name

Mendy Shapiro

Title

Manager

Phone

(732) 961-9000

Specialties & licenses 1

Addresses

Other names 1

• The Highlands of Dallas Doing business as

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1639428972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MONMOUTH AVE",
            "address_2": "SUITE 130",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 FOREST LANE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "972-783-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWOOD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MENDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-961-9000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Highlands of Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnthan Ivan Rivero Ramirez
• Mary H. Rivero-Homer, MD
• Charisse Lenell Rivers, NP
• Quinton D. Rivers, CRNA
• Riverside Home Medical Supply Inc.
• Anna Rives
• Kaliya Krsna Rivet, M.S., CCC-SLP
• Mary Ewing Rixford, MA, LPC, LMFT
• Riya Medical Group, PLLC
• Mary Susan Riyanto, WHNP

• Skilled Nursing Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.