RIVERBEND SERVICESINC NPI 1174693899

NPI Information

NPI: 1174693899
Provider Name: RIVERBEND SERVICES,INC

Doing Business As: RIVERBEND RESIDENTIAL SERVICES, INC

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
4195 S CREEK RD
ORRUM, NC
ZIP 28369
Phone: (910) 618-9260
Get Directions

RIVERBEND SERVICES,INC is a residential treatment facility emotionally disturbed children in Orrum, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. RIVERBEND SERVICES,INC NPI is 1174693899. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverbend Residential Services, Inc.

The provider's business location address is:

4195 S CREEK RD
ORRUM, NC
ZIP 28369-889
Phone: (910) 618-9260
Fax: (919) 737-6505

The provider's authorized official is Angie Rouse .
The authorized official title is Ceo and has the following contact phone number (910) 618-9260.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 6/24/2013.

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	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities			No
2	251B00000X	Case Management			No
3	251S00000X	Community/Behavioral Health			No
4	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	MHL-078-166	NORTH CAROLINA	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	8300790	MEDICAID	NORTH CAROLINA
2	6603809	MEDICAID	NORTH CAROLINA

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: 5/5/2024

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