NPIMap

Organization Active NPI

Rivershore Clinic

  • Skilled Nursing Facility
  • Milwaukee, WI
National Provider Identifier
1780079046
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
306794 Issued in WI
Legal business name
RIVERSHORE CLINIC
Practice address
3707 N. Richards St.
Milwaukee Health Service
Milwaukee, WI 53212-1673
Phone
(414) 967-7006
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Lynette Famous, LPN
Title
LPN
Phone
(262) 822-6751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 306794 WI Primary

Addresses

Primary practice location

3707 N. Richards St.
Milwaukee Health Service
Milwaukee, WI 53212-1673

Mailing address

3707 N Richards St
Milwaukee, WI 53212-1673
Phone (414) 967-7006

National Provider Directory

National Provider Directory
Tax ID family
Esolutions Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

3707 N Richards St
Milwaukee, WI 53212
Phone (414) 967-7006

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1780079046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 N RICHARDS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121673",
            "telephone_number": "414-967-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 N. RICHARDS ST.",
            "address_2": "MILWAUKEE HEALTH SERVICE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121673",
            "telephone_number": "414-967-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSHORE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "FAMOUS",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "262-822-6751",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "306794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.