Riverside Life Enrichment Center Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

RIVERSIDE LIFE ENRICHMENT CENTER INC

Practice address

2104 E Burke Rd
Lyndonville, VT 05851-9230

Phone

(802) 626-3900

NPI assigned

Apr 21, 2021

Last updated

Apr 21, 2021By 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

Leo H Coutu

Title

Executive Director

Phone

(802) 626-3900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1861074767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 E BURKE RD",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058519230",
            "telephone_number": "802-626-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 E BURKE RD",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058519230",
            "telephone_number": "802-626-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE LIFE ENRICHMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "COUTU",
        "authorized_official_first_name": "LEO H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-626-3900"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pines Health and Rehabilitation Center
• Jonah E Plazek
• Valerie K Pollock, PTA, CNMT
• Post Acute Specialists of Vermont PLC
• Horace Oliver Reider, M.D.
• Aimee E Rozum, LMHC, LCMHC, ATR-BC
• Evita E. Sandoval, ATC
• Connie L Sanville, M.S.
• William Alan Sargent, MD
• Anthony Lawrence Sgherza, PT, ATC

• Adult Day Care Clinic/Center in Lyndonville, VT
• Providers in Lyndonville, VT by specialty
• Adult Day Care Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.