Organization Active NPI

Lifehouse Riverside Operations, LLC.

Doing business as Riverside Healthcare Center

  • Skilled Nursing Facility
  • Riverside, CA
National Provider Identifier
1710166558
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIFEHOUSE RIVERSIDE OPERATIONS, LLC.
Doing business as
Riverside Healthcare Center
Practice address
8781 Lakeview Ave
Riverside, CA 92509-5969
Phone
(951) 685-1531
Fax
(951) 685-4544
NPI assigned
Oct 29, 2007
Organization subpart
Yes
Parent organization
LIFEHOUSE HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Mr. Maneesh Bansal, M.D.
Title
Ceo
Phone
(562) 924-9618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

8781 Lakeview Ave
Riverside, CA 92509-5969

Mailing address

8781 Lakeview Ave
Riverside, CA 92509-5969
Phone (951) 685-1531

Other names 1

  • Riverside Healthcare Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0904416Riverside Healthcare Center8781 Lakeview Avenue, Riverside, CA 92509Certificate of waiverAug 16, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1710166558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8781 LAKEVIEW AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925095969",
            "telephone_number": "951-685-1531",
            "fax_number": "951-685-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8781 LAKEVIEW AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925095969",
            "telephone_number": "951-685-1531",
            "fax_number": "951-685-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEHOUSE RIVERSIDE OPERATIONS, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEHOUSE HEALTH SERVICES, LLC",
        "enumeration_date": "2007-10-29",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "MANEESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-924-9618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.