Riverside Nursing Home

LBN: Riverside Nursing Home Llc
Riverside Nursing Home is an health care organization with primary practice located at 3001 S Grand St , Monroe LA 71202-4152. 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. Riverside Nursing Home Llc can be contacted via phone (318) 388-3200, or through Delatte, Kimberly W via phone (225) 664-6697.

Contact Information

Primary practice address
3001 S Grand St Monroe LA 71202-4152
Phone: (318) 388-3200
Fax: (318) 388-2909
Website:
Map and Directions
Authorized official contact:
Name: Delatte, Kimberly W
Phone: (225) 664-6697

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 58 Louisiana

Profile Details

NPI number 1639328909
LBN Legal business name Riverside Nursing Home Llc
DBA Doing business as Riverside Nursing Home
Authorized official Delatte, Kimberly W
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2008
Last updated Nov 10th, 2009 - about 15 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 1639328909 NPPES
Louisiana MEDICAID 1517810

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