Riverview Life Skills Center, Inc.

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

0214 Issued in VT

Legal business name

RIVERVIEW LIFE SKILLS CENTER, INC.

Practice address

197 Highlander Dr
Jeffersonville, VT 05464-9591

Phone

(802) 644-8708

Fax

(802) 644-6697

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By 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

Mr. Charles Johanns Erickson Sr.

Title

Presisdent

Phone

(802) 644-8708

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790862829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 HIGHLANDER DR",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "054649591",
            "telephone_number": "802-644-8708",
            "fax_number": "802-644-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 HIGHLANDER DR",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "054649591",
            "telephone_number": "802-644-8708",
            "fax_number": "802-644-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW LIFE SKILLS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOHANNS",
        "authorized_official_title_or_position": "PRESISDENT",
        "authorized_official_telephone_number": "802-644-8708",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "VT",
            "license": "0214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Lague-Greco, LCMHC
• Ekaterina Langlois
• Sara Jane Luneau, LCMHC
• Carol Lee Mason, MSW, LICSW
• Sophia Lourdes Amanda Ordaniza, DPT
• James Robinson
• Katherine T Robinson, NBC-HWC
• Shelly Houle Rodriguez, LCMHC, LADC
• William Shinn
• Pamela Kondra Sills, P.T.

• Physical Disabilities Residential Treatment Facility in Jeffersonville, VT
• Providers in Jeffersonville, VT by specialty
• Physical Disabilities Residential Treatment Facility in Vermont

• 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.