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LTACH AT RIVERSIDE, LLC
NPI 1073571865
Long Term Care Hospital in Newport News, VA

Active since May 02, 2006CLIA 49D1044487 · Waiver
500 J CLYDE MORRIS BLVD, 4TH FLOOR EAST AND 4TH FLOOR ANNEX, NEWPORT NEWS, VA 23601(757) 928-8261(757) 928-8271 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2025, May 24, 2021, Jun 21, 2017 (3 updates tracked since 2017).

About Ltach At Riverside, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LTACH AT RIVERSIDE, LLC (NPI 1073571865), doing business as Hampton Roads Specialty Hospital, is a healthcare organization registered as a long term care hospital in Newport News, Virginia and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists John Duggan, Vp, as its authorized official.

NPPES Registry Identity

NPI1073571865
Entity TypeOrganization
Primary Taxonomy282E00000X
Legal Business NameLTACH AT RIVERSIDE, LLC
Location Address500 J CLYDE MORRIS BLVD, 4TH FLOOR EAST AND 4TH FLOOR ANNEXNewport News, VA 23601-1929
Mailing Address4714 Gettysburg Rd, Legal DeptMechanicsburg, PA 17055-4325 · (717) 975-4503 · Fax (717) 975-9981
Phone(757) 928-8261
Fax(757) 928-8271
Organization SubpartNo
Authorized OfficialJohn DugganVp · (717) 972-1100
Enumeration DateMay 2, 2006
Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1073571865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
License✔ Licensed in VA · H1925
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
500 J CLYDE MORRIS BLVD, Newport News, VA 23601
Open in Google Maps ↗

Other Names 1

Doing Business AsHampton Roads Specialty Hospital

Other Identifiers 1

Medicaid010246148VA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1044487

Ltach At Riverside, LLC Hampton Roads · Newport News, VA
Active · expires Aug 8, 2027
CLIA Number49D1044487
Laboratory TypeHospital
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorDr. Timothy Walls
Laboratory Phone(757) 534-5000
Laboratory LocationLtach At Riverside, LLC Hampton Roads500 J Clyde Morris Blvd - 4th Floor East & Annex, Newport News, VA 23601
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN JONG HO KIDD CRNA
Nurse Anesthetist, Certified Registered
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Newport News City (866) 627-2471
HOLLY LYNN SNYDER GENETIC COUNSELOR
Genetic Counselor, MS
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Newport News City (757) 494-3636
DR. SARAH JAMES DILL MD
Anesthesiology
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Newport News City (757) 353-0565
DENNIE THOMASSON BARTOL MD
Radiology (Diagnostic Radiology)
500 J CLYDE MORRIS BLVD, RIVERSIDE REGIONAL MEDICAL CENTER
NEWPORT NEWS, VA 23601
Newport News City (757) 594-4405
MARISELA DAVIS DO
Student in an Organized Health Care Education/Training Program
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Newport News City (757) 612-7200
CHARLES E UMSTOTT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 J CLYDE MORRIS BLVD, SUITE 602
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5511
RAYMOND AMAKER MD
Pediatrics (Neonatal-Perinatal Medicine)
500 J CLYDE MORRIS BLVD, HAMPTON ROADS NEONATOLOGY
NEWPORT NEWS, VA 23601
Newport News City (757) 594-2000
MS. ERICA R NIPPER CRNA
Nurse Anesthetist, Certified Registered
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Newport News City (757) 594-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ltach At Riverside, LLC's NPI number?

The NPI number for Ltach At Riverside, LLC is 1073571865. It was assigned to this organization in the NPPES registry on May 2, 2006. The provider is doing business as Hampton Roads Specialty Hospital.

Where is Ltach At Riverside, LLC located?

Ltach At Riverside, LLC is located at 500 J Clyde Morris Blvd 4th Floor East And 4th Floor Annex, Newport News, VA 23601. The listed phone number is (757) 928-8261.

What is Ltach At Riverside, LLC's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

Does Ltach At Riverside, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1044487) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ltach At Riverside, LLC was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.