Riverside Health and Rehabilitation, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RIVERSIDE HEALTH AND REHABILITATION, LLC

Practice address

6500 Maccorkle Ave
Saint Albans, WV 25177-2326

Phone

(304) 768-0002

NPI assigned

Jan 12, 2022

Organization subpart

No

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

Authorized official

Name

Brenda Campbell

Title

Ar Billing Manager

Phone

(859) 255-0075

Specialties & licenses 1

Addresses

Practitioners 2

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

• Joshua Bradford, DO

  • Family Medicine Physician
  • South Charleston, WV
  • NPI 1689899510
  NPD (past)
• Christopher Cleveland Skaggs, M.D.

  • Internal Medicine Physician
  • South Charleston, WV
  • NPI 1598739476
  NPD (past)

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1760133755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CHINOE RD STE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026571",
            "telephone_number": "859-255-0075",
            "fax_number": "859-281-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 MACCORKLE AVE",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772326",
            "telephone_number": "304-768-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HEALTH AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "AR BILLING MANAGER",
        "authorized_official_telephone_number": "859-255-0075"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Richards, PRSS
• Amber C Ricottilli
• Nichole Danielle Ricottilli
• Karen Ripley
• Gayle Rittenhouse, R.PH.
• Riverside Valley of Journey, LLC (Riverside Valley of Journey)
• Angela Roach
• Cammie L Roach
• Carolyn Roach
• Violet Robbins

• Skilled Nursing Facility in Saint Albans, WV
• Providers in Saint Albans, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.