Riverside Lodgem Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF148 Issued in NE

Legal business name

RIVERSIDE LODGEM INC

Practice address

404 Woodland Dr
Grand Island, NE 68801-8906

Phone

(308) 382-1657

Fax

(308) 381-1863

NPI assigned

Sep 16, 2011

Organization subpart

No

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

Authorized official

Name

Debra Friend

Title

Executive Director

Phone

(308) 382-1657

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1962784819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WOODLAND DR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688018906",
            "telephone_number": "308-382-1657",
            "fax_number": "308-381-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 WOODLAND DR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688018906",
            "telephone_number": "308-382-1657",
            "fax_number": "308-381-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE LODGEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "FRIEND",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "308-382-1657"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina A Rivera
• Elaine Rivera
• Elia Rivera, LADC, PLMHP
• Leonel Rivera
• Deiver Rivero
• Brian Robbins
• Timothy A Robbins, LMHP
• Anne M Roberts, P.A.
• Tessa Roberts
• Rachael Robinson-Keilig, MA

• Assisted Living Facility in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.