LTACH AT RIVERSIDE LLC NPI 1073571865

NPI Information

  • NPI: 1073571865
  • Provider Name: LTACH AT RIVERSIDE, LLC
  • Classification: Long Term Care Hospital - 282E00000X
  • Entity Type: Organization
  • :
  • Address: 500 J CLYDE MORRIS BLVD
    4TH FLOOR EAST AND 4TH FLOOR ANNEX
    NEWPORT NEWS, VA
    ZIP 23601
  • Phone: (757) 928-8261

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NPI Details

LTACH AT RIVERSIDE, LLC is a long term care hospital in Newport News, VA. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. LTACH AT RIVERSIDE, LLC NPI is 1073571865. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

500 J CLYDE MORRIS BLVD
4TH FLOOR EAST AND 4TH FLOOR ANNEX
NEWPORT NEWS, VA
ZIP 23601-929
Phone: (757) 928-8261
Fax: (757) 928-8271

The provider's authorized official is John Duggan .
The authorized official title is Vp and has the following contact phone number (717) 972-1100.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 9/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282E00000XLong Term Care HospitalH1925VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010246148MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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