Organization Active NPI

Riverdale Assisted Living Facility

  • Assisted Living Facility
  • Memphis, TN
National Provider Identifier
1649544701
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
112000424 Issued in TN
Legal business name
RIVERDALE ASSISTED LIVING FACILITY
Practice address
6880 E Raines Rd
Memphis, TN 38115-5404
Phone
(901) 795-4495
Fax
(901) 729-6639
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Rhonda Suzzettee Westbrooks
Title
Owner
Phone
(901) 491-2426

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 112000424 TN Primary
Assisted Living Facility 310400000X TN

Addresses

Primary practice location

6880 E Raines Rd
Memphis, TN 38115-5404

Mailing address

5100 Stage Rd Ste 2
Bartlett, TN 38134-3161
Phone (901) 388-3545

Other names 1

  • N/a Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649544701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 STAGE RD STE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343161",
            "telephone_number": "901-388-3545",
            "fax_number": "901-388-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6880 E RAINES RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381155404",
            "telephone_number": "901-795-4495",
            "fax_number": "901-729-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WESTBROOKS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "SUZZETTEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-491-2426"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "112000424",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.