RIVERFRONT ACQUISITION I LLC NPI 1083092035

NPI Information

NPI: 1083092035
Provider Name: RIVERFRONT ACQUISITION I LLC

Doing Business As: RESIDENCE AT BAY VUE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

Address:
105 15TH ST E
BRADENTON, FL
ZIP 34208
Phone: (941) 747-8681
Get Directions

RIVERFRONT ACQUISITION I LLC is an assisted living facility in Bradenton, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RIVERFRONT ACQUISITION I LLC NPI is 1083092035. The provider is registered as an organization entity type.
The provider Is Doing Business As Residence At Bay Vue.

The provider's business location address is:

105 15TH ST E
BRADENTON, FL
ZIP 34208-337
Phone: (941) 747-8681

The provider's authorized official is Danielle Feminella .
The authorized official title is Vp Of Finance and has the following contact phone number (914) 471-1022.

The CLIA number assigned to this NPI record is 10D0913546 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 5/11/2015.

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
1	310400000X	Assisted Living Facility			FLORIDA	Yes

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
1	011159600	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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