Rivertown Assisted Living LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

12439 Issued in FL

Legal business name

RIVERTOWN ASSISTED LIVING LLC

Practice address

16354 SW Chipola Rd
Blountstown, FL 32424-3943

Phone

(850) 447-1720

NPI assigned

Nov 19, 2013

Last updated

Nov 19, 2013By 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

Marshell SolomonNPI 1275075145

Title

Administrator

Phone

(850) 447-1720

Specialties & licenses 1

Addresses

Other names 1

• N/A Former legal business name

Locations

Practitioners 1

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.

• Marshell Solomon, LPN

  • Licensed Practical Nurse
  • Blountstown, FL
  • NPI 1275075145
  Authorized official Same address or phone

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1649600156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16354 SW CHIPOLA RD",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324243943",
            "telephone_number": "850-447-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16354 SW CHIPOLA RD",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324243943",
            "telephone_number": "850-447-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTOWN ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "MARSHELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-447-1720"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "12439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alecia Presbitero, RBT
• Madelyn Shiplov Price, MCD/CCC-SLP
• Regency Care of Blountstown, LLC (Blountstown Health & Rehabilitation Center)
• Jarom Arthur Ricks, OTR/L
• Brittany L Riddle
• Rivertown Transitional Care LLC
• Sarah Roper
• Ropers Personal Home Care
• Maegan D. Russell
• Brooke Revell Sansom, APRN

• Preferred Provider Organization in Blountstown, FL
• Providers in Blountstown, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.