Provider Demographics
NPI:1548401003
Name:RIVERSIDE HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:RIVERSIDE HEALTHCARE SERVICES INC
Other - Org Name:RIVERSIDE IN-HOME TECHNOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-875-2023
Mailing Address - Street 1:608 DENBIGH BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-4411
Mailing Address - Country:US
Mailing Address - Phone:757-875-2023
Mailing Address - Fax:757-875-2016
Practice Address - Street 1:439 ORIANA RD
Practice Address - Street 2:SUITE B
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-3702
Practice Address - Country:US
Practice Address - Phone:757-234-8480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-13
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies