Provider Demographics
NPI:1376219782
Name:RIVIERA HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:RIVIERA HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:STRASSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-405-6451
Mailing Address - Street 1:8245 SPANISH FORT BLVD
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-5245
Mailing Address - Country:US
Mailing Address - Phone:251-405-6451
Mailing Address - Fax:
Practice Address - Street 1:7220 W UNIVERSITY AVE STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-1639
Practice Address - Country:US
Practice Address - Phone:352-765-9270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health