Organization
RIVERSIDE RETIREMENT SERVICES, INC.
Active
Parent organization
RIVERSIDE HEALTHCARE ASSOCIATION, INC.
Other names
Riverside PACE
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE HEALTHCARE ASSOCIATION, INC.
Authorized official
MR. CRAIG CONNORS (EXECUTIVE DIRECTOR)
(757) 875-2050
Entity
Organization
Contact information
Practice address
701 GORDON AVE, RICHMOND, VA 23224-7019
(804) 549-5500
(757) 549-5529
Mailing address
1020 OLD DENBIGH BLVD, NEWPORT NEWS, VA 23602-2017
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H8655
MEDICARE H-NUMBER
—
Enumeration date
12/12/2008
Last updated
12/12/2008
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