LTACH AT RIVERSIDE LLC NPI 1245765783

NPI Information

  • NPI: 1245765783
  • Provider Name: LTACH AT RIVERSIDE, LLC
  • Classification: Long Term Care Hospital - 282E00000X
  • Entity Type: Organization
  • CLIA Number: 49D1044487
  • Address: 500 J CLYDE MORRIS BLVD
    4TH FLOOR EAST AND 4TH FLOOR ANNEX
    NEWPORT NEWS, VA
    ZIP 23601
  • Phone: (717) 972-1100

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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 1245765783. The provider is registered as an organization entity type.

The provider's business location address is:

500 J CLYDE MORRIS BLVD
4TH FLOOR EAST AND 4TH FLOOR ANNEX
NEWPORT NEWS, VA
ZIP 23601
Phone: (717) 972-1100

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

The CLIA number assigned to this NPI record is 49D1044487 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2017 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 HospitalYes

What is NPI?

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

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