Riverside Healthcare Center

LBN: King Tree Leasing Co., Llc
Riverside Healthcare Center is an health care organization with primary practice located at 1390 King Tree Dr , Dayton OH 45405-1401. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. King Tree Leasing Co., Llc can be contacted via phone (937) 278-0723, or through Humbert, Monica via phone (513) 530-1622.

Contact Information

Primary practice address
1390 King Tree Dr Dayton OH 45405-1401
Phone: (937) 278-0723
Fax: (937) 278-1989
Website:
Map and Directions
Authorized official contact:
Name: Humbert, Monica
Phone: (513) 530-1622

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1649N Ohio

Profile Details

NPI number 1114918836
LBN Legal business name King Tree Leasing Co., Llc
DBA Doing business as Riverside Healthcare Center
Authorized official Humbert, Monica
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2005
Last updated Sep 30th, 2022 - about 2 years ago

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 1114918836 NPPES
Ohio MEDICAID 2530489

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