Riverside Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RIVERSIDE MEDICAL INC

Doing business as

Quipt Home Medical

Practice address

3021 Highway 45 Byp Ste 110
Jackson, TN 38305-0601

Phone

(731) 660-0060

NPI assigned

Aug 23, 2021

Last updated

Aug 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory J Crawford

Title

Ceo

Phone

(859) 441-8876

Specialties & licenses 2

Addresses

Other names 1

• Quipt Home Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Riverside Medical Inc

  dba Quipt Home Medical

  • Oxygen Equipment & Supplies (DME)
  • Savannah, TN
  • NPI 1962404129

  3072633296

  Same PAC ID
• Riverside Medical Inc

  • Oxygen Equipment & Supplies (DME)
  • Fort Oglethorpe, GA
  • NPI 1346820800

  3072633296

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

Riverside Medical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Riverside Medical Inc

  dba Quipt Home Medical

  • Oxygen Equipment & Supplies (DME)
  • Savannah, TN
  • NPI 1962404129
  NPD tax ID
• Riverside Medical Inc

  • Oxygen Equipment & Supplies (DME)
  • Fort Oglethorpe, GA
  • NPI 1346820800
  NPD tax ID

Locations

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1770250342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 TOWN DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410769114",
            "telephone_number": "859-441-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 HIGHWAY 45 BYP STE 110",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383050601",
            "telephone_number": "731-660-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-441-8876"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quipt Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cory Riley, DNP-CRNA
• Elly K Riley, DO
• Mary Kathryn Riley, RN, FNP
• Retta Riley
• Jacqueline Risley, PHARMD
• Renee Roark, LPC/MHSP
• Stephanie Robb
• Melissa A Robbins, MD
• Sarah Robbins, LMSW
• Cynthia Lynn Roberson, APRN-BC

• Durable Medical Equipment & Medical Supplies in Jackson, TN
• Providers in Jackson, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.