Riverdale Gardens Rehab and Nursing Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0068 Issued in MA

Legal business name

RIVERDALE GARDENS REHAB AND NURSING CENTER

Practice address

42 Prospect Ave
West Springfield, MA 01089-4510

Phone

(413) 733-3151

Fax

(413) 731-9984

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Debra Decoteau

Title

Regional Accounts Receivable Managr

Phone

(413) 335-3318

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730179367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PROSPECT AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894510",
            "telephone_number": "413-733-3151",
            "fax_number": "413-731-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PROSPECT AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894510",
            "telephone_number": "413-733-3151",
            "fax_number": "413-731-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE GARDENS REHAB AND NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECOTEAU",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "REGIONAL ACCOUNTS RECEIVABLE MANAGR",
        "authorized_official_telephone_number": "413-335-3318"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929182",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damaris Rivera
• Jeannifer L. Rivera
• Juan Rivera
• Luis A Rivera
• Ruby Ann Rivera, ARNP
• Kylie Rivers
• Riverside Dental LLC
• Riverside Psychiatry LLC
• Sara Marie Rivet, LICSW
• Rebecca Viola Robert

• Skilled Nursing Facility in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.