# RIVERBEND SERVICES,INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverbend Residential Services, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174693899
- **Authorized official:** MS. ANGIE ROUSE BS (CEO)
- **Authorized official phone:** (910) 618-9260

## Contact information

- **Practice address:** 4195 S CREEK RD, ORRUM, NC 28369-8889
- **Practice address phone:** (910) 618-9260
- **Practice address fax:** (919) 737-6505
- **Mailing address:** 6688 NC HIGHWAY 41 N, LUMBERTON, NC 28358-2501
- **Mailing address phone:** (910) 618-9260
- **Mailing address fax:** (919) 737-6505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-078-166 | NC | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 06/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603809 | — | NC |
| 05 | — | 8300790 | — | NC |