# RIVER NEUSE GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Croatan Ridge Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942236161
- **Authorized official:** GALE BOICE (CFO)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 210 FOXHALL RD, NEWPORT, NC 28570-6790
- **Practice address phone:** (252) 223-2560
- **Practice address fax:** (252) 223-3370
- **Mailing address:** 210 FOXHALL RD, NEWPORT, NC 28570-6790
- **Mailing address phone:** (252) 223-2560
- **Mailing address fax:** (252) 223-3370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0583 | NC | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 07/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0089D | BC/BS OF NC | NC |
| 05 | — | 3405491 | — | NC |
| 05 | — | 340612H | — | NC |
| 05 | — | 3415491 | — | NC |