Organization Active NPI

Riverview Acquisition Company , LLC

  • Skilled Nursing Facility
  • Owego, NY
National Provider Identifier
1679559520
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5324302N Issued in NY
Legal business name
RIVERVIEW ACQUISITION COMPANY , LLC
Practice address
510 5TH Ave
Owego, NY 13827-1620
Phone
(607) 687-2594
Fax
(607) 687-9580
NPI assigned
Dec 21, 2005
Last updated
Jun 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Mr. Jonathan Gewirtz
Title
Manager, Fiscal Oversight
Phone
(914) 588-8379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5324302N NY Primary

Addresses

Primary practice location

510 5TH Ave
Owego, NY 13827-1620

Mailing address

510 5TH Ave
Owego, NY 13827-1620
Phone (607) 687-2594

Other identifiers 1

IdentifierTypeStateIssuer
00353773MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1679559520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 5TH AVE",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138271620",
            "telephone_number": "607-687-2594",
            "fax_number": "607-687-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 5TH AVE",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138271620",
            "telephone_number": "607-687-2594",
            "fax_number": "607-687-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW ACQUISITION COMPANY , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "GEWIRTZ",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGER, FISCAL OVERSIGHT",
        "authorized_official_telephone_number": "914-588-8379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5324302N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00353773",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.