Organization
RIVERSIDE CONVALESCENT CENTERS, INC.
Active
Other names
Riverside Rehabilitation Center at Hampton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER W AUSTIN (SENIOR VP, LTC)
(757) 875-7846
Entity
Organization
Contact information
Practice address
414 ALGONQUIN RD, HAMPTON, VA 23661-1605
(757) 722-9881
(757) 723-3605
Mailing address
608 DENBIGH BLVD, SUITE 600, NEWPORT NEWS, VA 23608-4410
(757) 875-2023
(757) 875-2016
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2666
VA
314000000X
Skilled Nursing Facility
NH2666
VA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
NH2666
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004953088
—
VA
Enumeration date
08/21/2006
Last updated
01/26/2021
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