Active NPI
Riverside Health Care Center, Inc.
Doing business as Riverside Health & Rehabilitation Center
- Skilled Nursing Facility
- East Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1000C
- Legal business name
- RIVERSIDE HEALTH CARE CENTER, INC.
- Doing business as
- Riverside Health & Rehabilitation Center
- Practice address
- 745 Main St
East Hartford, CT 06108-3115 - Phone
- (860) 289-2791
- Fax
- (860) 289-7713
- NPI assigned
- Oct 27, 2005
- Last updated
- Jul 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen H. Chadderton, R.N., LNHA
- Title
- Administrator
- Phone
- (860) 289-2791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1000C | CT | Primary |
Addresses
Primary practice location
745 Main St
East Hartford, CT 06108-3115
Mailing address
745 Main St
East Hartford, CT 06108-3115
Phone (860) 289-2791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0210009 | Medicaid | CT |
Other names 1
- Riverside Health & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040907000178 | CT | Part A Provider - Skilled Nursing Facility | 7618943267 | Practice locations: East Hartford, CT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1821088113. Details of each certification follow.
Skilled nursing facility certification: CCN 075257
- Legal name
- RIVERSIDE HEALTH CARE CENTER, INC.
- Doing business as
- RIVERSIDE HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1976
- Last certification
- Jan 10, 2024
- Beds
- 345
- Ownership / control type
- Corporation
- Multi-facility organization
- National Health Care
- Organization structure
- Corporation
- Incorporated
- Nov 5, 1980 in DE
- Enrollment address
- 745 Main St
East Hartford, CT 06108-3115 - Nursing home name
- RIVERSIDE HEALTH & REHABILITATION CENTER
- Affiliated entity
- NATIONAL HEALTH CARE ASSOCIATES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Riverside Health & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 1, 1976
- Medicare certification status
- Active
- Certified beds
- 345
- Chain
- National Health Care Associates
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryLocations
745 Main St
East Hartford, CT 06108
Phone (860) 289-2791
Ownership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Marvin J. Ostreicher | 5% Or Greater Direct Ownership Interest | Jun 15, 2009 | 20% |
| Corporate Director | Jun 15, 2009 | 20% | |
| Doris Laufer | 5% Or Greater Direct Ownership Interest | Jun 15, 2009 | 5% |
| Corporate Director | Jun 15, 2009 | 5% | |
| The Harry and Helen Ostreicher Family Trust | 5% Or Greater Direct Ownership Interest | Jan 1, 2013 | 16.6% |
| Agnes Zitter | 5% Or Greater Direct Ownership Interest | Jun 15, 2009 | 5.6% |
| Corporate Director | Jun 15, 2009 | 5.6% | |
| Izask Keller S Corp. Life Estate Trust Fbo Perl Brown | 5% Or Greater Direct Ownership Interest | Aug 1, 2007 | 7.5% |
| Karen H Chadderton | W-2 Managing Employee | Sep 18, 2016 | 100% |
| David Smilovitz Trust | 5% Or Greater Direct Ownership Interest | Jun 3, 2019 | 5% |
| Peggy Weberman | Corporate Director | Jun 15, 2009 | 5% |
| Pearl Brown | 5% Or Greater Direct Ownership Interest | Aug 1, 2007 | 2.5% |
| Nathan Pollack | 5% Or Greater Direct Ownership Interest | Jun 15, 2009 | 5% |
| Corporate Director | Jun 15, 2009 | 5% | |
| Izask Keller S Corp Life Estate Trust Fbo Hymie Keller | 5% Or Greater Direct Ownership Interest | Aug 1, 2007 | 7.5% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Water's Edge Center for Health and Rehabilitation
- Skilled Nursing Facility
- Middletown, CT
- NPI 1225121627
David Smilovitz Trust, Izask Keller S Corp Life Estate Trust Fbo Hymie Keller, Izask Keller S Corp. Life Estate Trust Fbo Perl Brown, The Harry and Helen Ostreicher Family Trust
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- South Windsor, CT
- NPI 1467470740
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247616000000",
"number": "1821088113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 MAIN ST",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083115",
"telephone_number": "860-289-2791",
"fax_number": "860-289-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 MAIN ST",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083115",
"telephone_number": "860-289-2791",
"fax_number": "860-289-7713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE HEALTH CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-27",
"last_updated": "2009-07-15",
"status": "A",
"authorized_official_last_name": "CHADDERTON",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "860-289-2791",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.N., LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "1000C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0210009",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverside Health & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.