Provider Demographics
NPI:1275736597
Name:RIVER SPRINGS NURSING & REHABILITATION CENTER, LLC
Entity Type:Organization
Organization Name:RIVER SPRINGS NURSING & REHABILITATION CENTER, LLC
Other - Org Name:RIVER CREST NURSING & REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:A
Authorized Official - Last Name:KARCHMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-236-2210
Mailing Address - Street 1:21 E MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-2400
Mailing Address - Country:US
Mailing Address - Phone:405-236-2210
Mailing Address - Fax:405-235-1329
Practice Address - Street 1:120 WARDEN LN
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-6532
Practice Address - Country:US
Practice Address - Phone:512-353-8988
Practice Address - Fax:512-353-1129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility