Riverside Tappahannock Hospital Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

491554 Issued in VA

Legal business name

RIVERSIDE TAPPAHANNOCK HOSPITAL INC

Doing business as

Riverside Tappahannock Hospice

Practice address

659 Hospital Rd
Medical Arts Building a, Suite 201
Tappahannock, VA 22560

Phone

(804) 443-6130

Fax

(804) 443-6129

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Tatterson, RN

Title

Director of Hospice

Phone

(757) 594-2745

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Riverside Tappahannock Hospice Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Riverside Hospice and Homecare Services LLC

  • Community Based Hospice Care Agency
  • Warsaw, VA
  • NPI 1891394607

  Sold to, 2020-12-31

  CMS change of ownership

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669478194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120014",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236120014",
            "telephone_number": "757-594-2745",
            "fax_number": "757-594-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 HOSPITAL RD",
            "address_2": "MEDICAL ARTS BUILDING A, SUITE 201",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "22560",
            "telephone_number": "804-443-6130",
            "fax_number": "804-443-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE TAPPAHANNOCK HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TATTERSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF HOSPICE",
        "authorized_official_telephone_number": "757-594-2745",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "VA",
            "license": "491554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4910044",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Tappahannock Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Health Source LLC
• Riverside Health Source LLC
• Riverside Physician Services Inc (Riverside Tappahannock Women's Center)
• Riverside Physician Services Inc.
• Riverside Tappahannock Hospital Inc (Riverside Tappahannock Hospital)
• Riverside Tappahannock Hospital Inc (Riverside Tappahannock Hospital)
• Riverview Orthopaedics, LLC
• Robert a. Johnson DDS
• Alex Robinson, MD
• Emily Robinson, MSN APRN FNP-C

• Community Based Hospice Care Agency in Tappahannock, VA
• Providers in Tappahannock, VA by specialty
• Community Based Hospice Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.