NPIMap

Organization Active NPI

Riverside Village Homes Inc

  • Assisted Living Facility
  • Black Mountain, NC
National Provider Identifier
1932563129
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FCL-011 Issued in NC
Legal business name
RIVERSIDE VILLAGE HOMES INC
Practice address
136 Center Ave
Black Mountain, NC 28711-3509
Phone
(910) 417-7351
NPI assigned
Apr 13, 2016
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Jessica ClarkeNPI 1699137141
Title
Owner
Phone
(910) 417-7351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FCL-011 NC Primary

Addresses

Primary practice location

136 Center Ave
Black Mountain, NC 28711-3509

Mailing address

PO Box 897
Black Mountain, NC 28711-0897
Phone (910) 417-7351

National Provider Directory

National Provider Directory
Tax ID family
Riverside Village Homes Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1932563129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287110897",
            "telephone_number": "910-417-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 CENTER AVE",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287113509",
            "telephone_number": "910-417-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE VILLAGE HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-417-7351"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.