NPIMap

Organization Active NPI

Riveredge Hospital Inc

  • Psychiatric Hospital
  • Forest Park, IL
National Provider Identifier
1710070701
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
1720146 Issued in IL
Legal business name
RIVEREDGE HOSPITAL INC
Practice address
8311 Roosevelt Rd
Forest Park, IL 60130-2529
Phone
(708) 771-7000
Fax
(708) 209-2280
NPI assigned
Oct 2, 2006
Last updated
Mar 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(417) 274-9038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 1720146 IL Primary
Psychiatric Hospital 283Q00000X 0005124 IL

Addresses

Primary practice location

8311 Roosevelt Rd
Forest Park, IL 60130-2529

Mailing address

8311 Roosevelt Rd
Forest Park, IL 60130-2529
Phone (708) 771-7000

Other names 1

  • Aeries Healthcare Of Illinois Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061218000253 IL Part B Supplier - Clinic/Group Practice 3870401268 Receives reassigned benefits from 42 practitioners
Practice locations: Forest Park, IL
O20090108000163 IL Part A Provider - Hospital 3870401268 Practice locations: Forest Park, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710070701. Details of each certification follow.

Hospital certification: CCN 144009

Legal name
RIVEREDGE HOSPITAL INC
Doing business as
RIVEREDGE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Aug 5, 1976
Last certification
Dec 3, 2020
Beds
210
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Sep 9, 1999 in DE
Enrollment address
8311 W Roosevelt Rd
Forest Park, IL 60130-2529
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Aeries Healthcare of Illinois, Inc., Dba Riveredge HospitalCCN 144009 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Aeries Healthcare of Il4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George H Brunner Individual Corporate OfficerAssistant Secretary Nov 15, 2010 100%
Psychiatric Solutions Hospitals LLC Organization, King of Prussia, PA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 9, 1999 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Dec 31, 2023 100%
Matthew D Klein Individual Corporate OfficerSecretary Nov 15, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Leticia Rivas-Martinez Individual Contracted Managing EmployeeCfo Sep 12, 2022
Corporate OfficerCfo Sep 12, 2022
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Steve Filton Individual Corporate OfficerVice President Board Member Nov 15, 2010 100%
Corporate DirectorVice President Board Member Nov 15, 2010 33.3%
Operational/Managerial ControlVice President and Board Member Nov 15, 2010 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Nov 15, 2010 100%
Operational/Managerial ControlTreasurer Nov 15, 2010 100%
Riverside Hospital Holdings Inc Organization, King of Prussia, PA Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 9, 1999 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 10, 2010 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Nov 15, 2010 50%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office Operational/Managerial Control Nov 15, 2010 100%
Kathleen P Hoye Individual Contracted Managing EmployeeCeo Dec 29, 2025
Corporate OfficerCeo Dec 29, 2025
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 9, 1999 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman of the Board Mar 25, 2022 86.5%

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1710070701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 ROOSEVELT RD",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302529",
            "telephone_number": "708-771-7000",
            "fax_number": "708-209-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 ROOSEVELT RD",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302529",
            "telephone_number": "708-771-7000",
            "fax_number": "708-209-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVEREDGE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "417-274-9038"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "IL",
            "license": "1720146",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "IL",
            "license": "0005124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aeries Healthcare Of Illinois Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Forest Park, IL

Sources for this page

Verify at the official NPI Registry.