<Unavail>
LBN: Diversicare Of Riverside, Llc
<Unavail> is an health care organization with primary practice located at 1616 Weisenborn Rd , Saint Joseph MO 64507-2527. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Diversicare Of Riverside, Llc can be contacted via phone (816) 232-9874, or through Weishaar, Matthew J via phone (615) 771-7575.
Contact Information
Primary practice address
1616 Weisenborn Rd
Saint Joseph MO 64507-2527
Phone: (816) 232-9874
Fax: (816) 364-4283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 042402 | Missouri |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 042401 | Missouri |
Profile Details
| NPI number | 1669887352 |
|---|---|
| LBN Legal business name | Diversicare Of Riverside, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Weishaar, Matthew J |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 22nd, 2014 |
| Last updated | Apr 7th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669887352 | NPPES |
| Missouri | MEDICAID | 1669887352 |
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