Provider Demographics
NPI:1467664292
Name:RIVERS HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:RIVERS HEALTHCARE SERVICES INC
Other - Org Name:RIVERS ASSISTED LIVING SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:RIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-639-0056
Mailing Address - Street 1:12630 THIRD BRANCH COURT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832
Mailing Address - Country:US
Mailing Address - Phone:504-639-0056
Mailing Address - Fax:804-639-9643
Practice Address - Street 1:12630 THIRD BRANCH COURT
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832
Practice Address - Country:US
Practice Address - Phone:504-639-0056
Practice Address - Fax:804-639-9643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility