Provider Type Icon

RIVERSIDE HEALTHCARE & WELLNESS CENTRE LLC NPI 1659504991


NPI Information

NPI: 1659504991
Provider Name: RIVERSIDE HEALTHCARE & WELLNESS CENTRE LLC

Doing Business As: ALTA VISTA HEALTHCARE AND WELLNESS CENTRE

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 05D0575422

Address:
9020 GARFIELD ST
RIVERSIDE, CA
ZIP 92503
Phone: (951) 688-8200
Get Directions

RIVERSIDE HEALTHCARE & WELLNESS CENTRE LLC is a skilled nursing facility in Riverside, CA. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. RIVERSIDE HEALTHCARE & WELLNESS CENTRE LLC NPI is 1659504991. The provider is registered as an organization entity type.
The provider Is Doing Business As Alta Vista Healthcare And Wellness Centre.

The provider's business location address is:

9020 GARFIELD ST
RIVERSIDE, CA
ZIP 92503-903
Phone: (951) 688-8200
Fax: (951) 353-2450

The provider's authorized official is Cheryl Petterson .
The authorized official title is Vice President - Cams and has the following contact phone number (310) 574-3733.

The CLIA number assigned to this NPI record is 05D0575422 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2009 and was last updated on 11/20/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing FacilityCALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZT18006IMEDICAIDCALIFORNIA
2055042MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.