Active NPI
Lifehouse Riverside Operations, LLC.
Doing business as Riverside Healthcare Center
- Skilled Nursing Facility
- Riverside, CA
National Provider Identifier
1710166558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0904416 | Riverside Healthcare Center | Certificate of waiver | Aug 16, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.