NPIMap

Organization Active NPI

Riverside Healthcare, L.P.

Doing business as Riverside Healthcare Center

  • Skilled Nursing Facility
  • Covington, GA
National Provider Identifier
1871579698
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-107-1372 Issued in GA
Legal business name
RIVERSIDE HEALTHCARE, L.P.
Doing business as
Riverside Healthcare Center
Practice address
5100 West St NW
Covington, GA 30014-2173
Phone
(770) 787-0211
Fax
(770) 786-2462
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
James J Andrews
Title
President
Phone
(770) 992-0441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-107-1372 GA Primary

Addresses

Primary practice location

5100 West St NW
Covington, GA 30014-2173

Mailing address

5100 West St NW
Covington, GA 30014-2173
Phone (770) 787-0211

Other identifiers 2

IdentifierTypeStateIssuer
000140324AMedicaidGA
450427903AMedicaidGA

Other names 1

  • Riverside Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601000204 GA Part A Provider - Skilled Nursing Facility 3375524705 Practice locations: Covington, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871579698. Details of each certification follow.

Skilled nursing facility certification: CCN 115375

Legal name
RIVERSIDE HEALTHCARE LP
Doing business as
RIVERSIDE HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1989
Last certification
Apr 3, 2025
Beds
159
Ownership / control type
Corporation
Multi-facility organization
Southeast
Most recent change of ownership
Aug 1, 2004
Organization structure
OtherProprietary
Incorporated
Apr 30, 2004 in GA
Enrollment address
5100 West St NW
Covington, GA 30014-2173
Nursing home name
RIVERSIDE HEALTH CARE CENTER
Affiliated entity
WELLINGTON HEALTH CARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Riverside Health Care CenterCCN 115375 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
159152.8 residents per day on average
Chain
Wellington Health Care Services14 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Andwell Investments, LLC Organization, Roswell, GA Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 10, 2012 99.99%
Elkins Road Associates LLC Organization, Roswell, GA For-profit General Partnership Interest Jul 31, 2007 0.1%
Moshe Kelman Individual Corporate OfficerCeo Jul 1, 2023 2%
Wellington Healthcare Services LP Organization, Roswell, GA 5% Or Greater Direct Ownership Interest Jul 31, 2007 99.99%
James J Andrews Individual 5% Or Greater Indirect Ownership Interest Jan 10, 2012 100%
Corporate OfficerPresident of the Provider Jul 31, 2007
Corporate DirectorDirector of the Provider Jul 31, 2007
Operational/Managerial ControlPresident of the Provider Jul 31, 2007
OtherAuthorized Official Apr 6, 2012
Teresa Bailey Individual W-2 Managing EmployeeVP of Business Office Services Jul 1, 2023
Senior Care Holdings Inc Organization, Toronto Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2015 40.71%

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1871579698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 WEST ST NW",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142173",
            "telephone_number": "770-787-0211",
            "fax_number": "770-786-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 WEST ST NW",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142173",
            "telephone_number": "770-787-0211",
            "fax_number": "770-786-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HEALTHCARE, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-992-0441"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-107-1372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000140324A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450427903A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.