Provider Demographics
NPI:1710356217
Name:RIVIERA HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:RIVIERA HEALTH SERVICES, LLC
Other - Org Name:BRIGHTSTAR CARE OF MOBILE/BALDWIN CO.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
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:251-405-6099
Practice Address - Street 1:118 N ROYAL ST
Practice Address - Street 2:605
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36602-3603
Practice Address - Country:US
Practice Address - Phone:251-405-6451
Practice Address - Fax:251-405-6099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health