RIVERSIDE REHAB INC. NPI 1922167279

NPI Information

  • NPI: 1922167279
  • Provider Name: RIVERSIDE REHAB, INC.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 7735 W RIVERSIDE DR
    BOISE, ID
    ZIP 83714
  • Phone: (208) 853-8536

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NPI Details

RIVERSIDE REHAB, INC. is a mental health counselor in Boise, ID. RIVERSIDE REHAB, INC. NPI is 1922167279. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7735 W RIVERSIDE DR
BOISE, ID
ZIP 83714-182
Phone: (208) 853-8536
Fax: (208) 853-2929

The provider's authorized official is Lee Barton .
The authorized official title is Owner-president and has the following contact phone number (208) 853-8536.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/22/2020.

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
1101YM0800XCounselorMental HealthYes
2104100000XSocial WorkerX
31041C0700XSocial WorkerClinicalX

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: 3/30/2025

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