Riverside Pace

LBN: Riverside Retirement Service, Inc
Riverside Pace is an health care organization with primary practice located at 319 Brown St , Petersburg VA 23803-4247. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Riverside Retirement Service, Inc can be contacted via phone (757) 369-5137, or through Connors, Craig via phone (757) 875-2050.

Contact Information

Primary practice address
319 Brown St Petersburg VA 23803-4247
Phone: (757) 369-5137
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Connors, Craig
Phone: (757) 875-2050

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X

Profile Details

NPI number 1447537758
LBN Legal business name Riverside Retirement Service, Inc
DBA Doing business as Riverside Pace
Authorized official Connors, Craig
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 15th, 2011
Last updated Nov 15th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447537758 NPPES
Other H8655 MEDICARE CONTRACT NUMBER

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