# LYNN'S CARE HOME AT RIVERSIDE, LLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336801000
- **Authorized official:** MS. ANN MARIE CASSELLA (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (919) 621-9670

## Contact information

- **Practice address:** 5614 APALACHICULA DR, RALEIGH, NC 27616-5826
- **Practice address phone:** (919) 621-9670
- **Practice address fax:** (919) 516-0796
- **Mailing address:** PO BOX 10215, RALEIGH, NC 27605-0215
- **Mailing address phone:** (919) 621-9670
- **Mailing address fax:** (919) 516-0796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2021
- **Last updated:** 10/11/2021