Provider Demographics
NPI:1700931920
Name:RIVERVIEW ESTATES, INC
Entity Type:Organization
Organization Name:RIVERVIEW ESTATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-546-2211
Mailing Address - Street 1:202 S WASHINGTON ST
Mailing Address - Street 2:BOX 158
Mailing Address - City:MARQUETTE
Mailing Address - State:KS
Mailing Address - Zip Code:67464-9775
Mailing Address - Country:US
Mailing Address - Phone:785-546-2211
Mailing Address - Fax:785-546-2035
Practice Address - Street 1:202 S WASHINGTON ST
Practice Address - Street 2:BOX 158
Practice Address - City:MARQUETTE
Practice Address - State:KS
Practice Address - Zip Code:67464-9775
Practice Address - Country:US
Practice Address - Phone:785-546-2211
Practice Address - Fax:785-546-2035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN-059-007313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100109370AMedicaid
KS100109370AMedicaid