Riverside Convalescent Hospital, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100000082 Issued in CA

Legal business name

RIVERSIDE CONVALESCENT HOSPITAL, INC

Doing business as

Applewood Care Center

Practice address

1090 Rio LN
Sacramento, CA 95822-1706

Phone

(916) 446-2506

Fax

(916) 446-2029

NPI assigned

Aug 3, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Terry Bane

Title

President

Phone

(530) 897-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Applewood Care Center Doing business as

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1801897533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 RIO LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958221706",
            "telephone_number": "916-446-2506",
            "fax_number": "916-446-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 RIO LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958221706",
            "telephone_number": "916-446-2506",
            "fax_number": "916-446-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CONVALESCENT HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "BANE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-897-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "100000082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05296G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Applewood Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Danielle Rivera
• Vivian Lopez Rivera
• Rivercity Doctors of Optometry Inc.
• Carol A Rivero, PH.D.
• Adrian Rivers
• Riverside Hospice Care
• Alix Rives
• Yusuf Rizam, CRNA
• Brenna Rizan, DSW, MSW, LCSW
• Laudy Rizk

• Skilled Nursing Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.