Active NPI
Riverside Recuperative Care
- Lodging Provider
- Riverside, CA
National Provider Identifier
1912790791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- Legal business name
- RIVERSIDE RECUPERATIVE CARE
- Practice address
- 4030 Witt Ave
Riverside, CA 92501-1563 - Phone
- (432) 967-5376
- NPI assigned
- May 26, 2025
- Last updated
- May 26, 2025
- 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. Rabah Mahoud
- Title
- Administrator
- Phone
- (432) 967-5376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | Primary |
Addresses
Primary practice location
4030 Witt Ave
Riverside, CA 92501-1563
Mailing address
4030 Witt Ave
Riverside, CA 92501-1563
Phone (432) 967-5376
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748217600000",
"number": "1912790791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 WITT AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011563",
"telephone_number": "432-967-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 WITT AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011563",
"telephone_number": "432-967-5376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE RECUPERATIVE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-26",
"last_updated": "2025-05-26",
"certification_date": "2025-05-25",
"status": "A",
"authorized_official_last_name": "MAHOUD",
"authorized_official_first_name": "RABAH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "432-967-5376",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
- Riverside Recovery Resources (Beta Program)
- Riverside Recovery Resources (Beta)
- Riverside Recovery Resources
- Riverside Recovery Resources (Beta Program)
- Riverside Recovery Resources (Beta Program)
- Riverside Regional Surgery Center Inc
- Riverside Retirement Villa LLC (Arlington Riverside Senior Community)
- Riverside Sanitarium, LLC (Riverside Behavioral Healthcare Center)
- Riverside Season Grove CLHF Inc.
- Riverside Smiles Dentistry Dr Akkari DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.