Riverstone Memory Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

104587 Issued in TX

Legal business name

RIVERSTONE MEMORY CARE, LLC

Practice address

20313 S University Blvd
Missouri City, TX 77459-3547

Phone

(281) 778-2881

Fax

(281) 778-2888

NPI assigned

Feb 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Chad Anderson

Title

President

Phone

(214) 845-4500

Specialties & licenses 1

Addresses

Other names 1

• Autumn Leaves of Riverstone Doing business as

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1992078133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E JOHN CARPENTER FWY",
            "address_2": "SUITE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623931",
            "telephone_number": "214-845-4500",
            "fax_number": "214-845-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20313 S UNIVERSITY BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593547",
            "telephone_number": "281-778-2881",
            "fax_number": "281-778-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSTONE MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-845-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "104587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Leaves of Riverstone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Ritter, FNP
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• River Bend Family Psychiatry, PLLC
• Riverstone Assisted Living
• Riverstone Dentists PA
• Baneen Rizvi
• RM Primary Provider Healthcare Staffing Inc
• Angela Roberts
• Briana Marie Roberts, SLPA
• Kamaria Azuree Roberts

• Assisted Living Facility in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.