Riverside Rehabilitation Agency, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

RIVERSIDE REHABILITATION AGENCY, INC.

Practice address

8680 Bluebonnet Blvd
Suite D
Baton Rouge, LA 70810-7825

Phone

(225) 936-2021

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Martha Ann Banks

Title

Owner

Phone

(225) 936-2021

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Enrique J R Flechas, M.D.

  • Psychiatry Physician
  • Baton Rouge, LA
  • NPI 1396801734
  NPD (past)
• Burl Eugene Forgey IV, M.D.

  • Psychiatry Physician
  • Baton Rouge, LA
  • NPI 1649336082
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1720027105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 S FIELDGATE CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708085452",
            "telephone_number": "225-936-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 BLUEBONNET BLVD",
            "address_2": "SUITE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107825",
            "telephone_number": "225-936-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE REHABILITATION AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-936-2021",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1566250",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatiana Rivas-Ventura
• River Road Recovery
• Adrianne Mary Rivera, LCSW
• Sydni Jane Rivera
• Demilee Rivere
• Riverview Behavioral Health LLC
• Riverview Behavioral Health LLC
• Patricia S Rives, MSW, LCSW
• Claude Rivet, PT
• Kelly Rivette, BS PSYCHOLOGY

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.