Organization Active NPI

Riverside Hospital Inc

Doing business as Riverside Home Health

  • Home Health Agency
  • Newport News, VA
National Provider Identifier
1801891023
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
497467A Issued in VA
Legal business name
RIVERSIDE HOSPITAL INC
Doing business as
Riverside Home Health
Practice address
856 J Clyde Morris Blvd
Ste C
Newport News, VA 23601-1318
Phone
(757) 594-4600
Fax
(757) 594-3386
NPI assigned
Jun 15, 2005
Last updated
Aug 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Mr. Walter W Austin
Title
Sr VP/Cfo
Phone
(757) 875-7545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 497467A VA Primary

Addresses

Primary practice location

856 J Clyde Morris Blvd
Ste C
Newport News, VA 23601-1318

Mailing address

608 Denbigh Blvd Ste 800
Newport News, VA 23608-4487
Phone (757) 875-7545

Other identifiers 1

IdentifierTypeStateIssuer
4972627MedicaidVA

Other names 1

  • Riverside Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030509000016 VA Part A Provider - Home Health Agency 1557271293 Practice locations: Gloucester, VA; Newport News, VA; Smithfield, VA; Williamsburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801891023. Details of each certification follow.

Home health agency certification: CCN 497467A

Legal name
RIVERSIDE HOSPITAL INC
Doing business as
RIVERSIDE HOME HEALTH
Organization structure
CorporationNon-profit
Incorporated
Jan 12, 1982 in VA
Enrollment address
856 J Clyde Morris Blvd
Ste C
Newport News, VA 23601-1318

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Riverside Home HealthCCN 497467
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
May 12, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Tax ID family
Karl V Gregg MD18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

120 Kings Way
Ste 2100
Williamsburg, VA 23185
Phone (757) 258-4500

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eugene M Jordan Individual Corporate DirectorBoard Member Feb 1, 2015
Michael Seiji Oshiki Individual Corporate OfficerHospital President Jul 2, 2022
James Donald Baylous Individual Corporate DirectorMedical Staff President Jul 1, 2022
Walter W Austin Individual Corporate OfficerEvp/Cfo/Treasurer Jul 1, 2012
Jason Houser Individual Corporate OfficerVP Corp Counsel/Board Secretary Feb 1, 2018
Michael J Dacey Individual Corporate OfficerPresident/Coo, RHS Feb 1, 2018
Corporate DirectorBoard Member Feb 1, 2018
Frankye Myers Individual Corporate OfficerSVP/Cno RHS Jul 2, 2022
Riverside Healthcare Association, Inc. Organization, Newport News, VA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 6, 1982
Barbara J. Labonte Individual W-2 Managing EmployeeAvp Jan 26, 2001
Thomas a Taghon Individual Corporate OfficerVP/Cmo Jul 1, 2022
Gary Minter Individual Corporate DirectorBoard Member Feb 1, 2016
Dwayne B Blake Individual Corporate DirectorBoard Member Feb 1, 2012
Elizabeth Dawn Hunt Individual Corporate DirectorBoard Member Feb 1, 2018
Christopher P Stolle Individual Corporate OfficerVP Medical Affairs Feb 1, 2006
John P Peterman Individual Corporate OfficerCoo, RRMC Jul 26, 2021
Maureen Thompson Individual Contracted Managing EmployeeExec Dir Riverside Home Care SVS Feb 4, 2019
Rector & Visitors of the University of Virginia Organization, Charlottesville, VA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 10, 2023 95%
Sadie Thurman Individual Corporate OfficerVP/Cno Feb 1, 2020
Riverside Integrated Services Inc Organization, Newport News, VA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 10, 2023 95%
Wanda M Austin Individual Corporate DirectorBoard Member Feb 1, 2016
Monilla M Dent Individual Corporate DirectorBoard Member Feb 1, 2021
Charvalla West Individual Corporate DirectorBoard Member Feb 1, 2021
George Goodson Individual Corporate DirectorBoard Member Feb 1, 2013

Owners & managing parties with NPI records 25

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 25

Facilities with the same owner 23

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 23

Practitioners & affiliated clinicians

Affiliated clinicians 216

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 216

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1801891023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DENBIGH BLVD STE 800",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084487",
            "telephone_number": "757-875-7545",
            "fax_number": "757-875-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4600",
            "fax_number": "757-594-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SR VP/CFO",
        "authorized_official_telephone_number": "757-875-7545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "497467A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4972627",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.