Riverside Place

LBN: Diversicare Of Riverside, Llc
Riverside Place is an health care organization with primary practice located at 1616 Weisenborn Rd , Saint Joseph MO 64507-2527. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Diversicare Of Riverside, Llc can be contacted via phone (816) 232-9874, or through Weishaar, Matthew J via phone (615) 771-7575.

Contact Information

Primary practice address
1616 Weisenborn Rd Saint Joseph MO 64507-2527
Phone: (816) 232-9874
Fax: (816) 364-4283
Website:
Map and Directions
Authorized official contact:
Name: Weishaar, Matthew J
Phone: (615) 771-7575

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 042402 Missouri
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 042401 Missouri

Profile Details

NPI number 1669887352
LBN Legal business name Diversicare Of Riverside, Llc
DBA Doing business as Riverside Place
Authorized official Weishaar, Matthew J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 22nd, 2014
Last updated Apr 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669887352 NPPES
Missouri MEDICAID 1669887352

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