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
CRAIG CONNORS (VP COMMUNITY BASED SERVICES)
(757) 875-2050
Entity
Organization
Contact information
Practice address
1300 MACTAVISH AVE, RICHMOND, VA 23230-4633
(804) 977-5900
Mailing address
1020 OLD DENBIGH BLVD, NEWPORT NEWS, VA 23602-2017
(757) 875-2050
(757) 875-2070
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H8655
MEDICARE CONTRACT NUMBER
—
Enumeration date
05/26/2011
Last updated
05/26/2011
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