RIVERSTREET CENTER OPCO LLC
NPI 1144815788
Skilled Nursing Facility in Wilkes Barre, PA

Active since March 05, 2021CLIA 39D0897782 · Waiver
440 N RIVER ST, WILKES BARRE, PA 18702(570) 825-5611(570) 824-6488 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverstreet Center Opco Llc NPPES

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

RIVERSTREET CENTER OPCO LLC (NPI 1144815788) is a healthcare organization registered as a skilled nursing facility in Wilkes Barre, Pennsylvania and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Avital Rosenzweig, Authorized Member, as its authorized official.

NPPES Registry Identity

NPI1144815788
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameRIVERSTREET CENTER OPCO LLC
Location Address440 N RIVER STWilkes Barre, PA 18702-2631
Mailing Address440 N River StWilkes Barre, PA 18702-2631 · (570) 825-5611 · Fax (570) 824-6488
Fax(570) 824-6488
Organization SubpartNo
Authorized OfficialAvital RosenzweigAuthorized Member · (717) 543-4401
Enumeration DateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
NPI 1144815788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
440 N RIVER ST, Wilkes Barre, PA 18702

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 39D0897782

Riverstreet Manor · Wilkes Barre, PA
Active · expires Feb 14, 2027
CLIA Number39D0897782
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorDr. Patrick C. Kilduff
Laboratory Phone(570) 831-8600
Laboratory LocationRiverstreet Manor440 N River Street, Wilkes Barre, PA 18702
CLIA data matches this NPI record on: Address
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.

Internal Medicine
440 N RIVER ST
WILKES BARRE, PA 18702
Occupational Therapist
440 N RIVER ST
WILKES BARRE, PA 18702
Physical Therapist
440 N RIVER ST
WILKES BARRE, PA 18702
Speech-Language Pathologist
440 N RIVER ST
WILKES BARRE, PA 18702
Physical Therapist
440 N RIVER ST
WILKES BARRE, PA 18702
Speech-Language Pathologist
440 N RIVER ST
WILKES BARRE, PA 18702
Occupational Therapy Assistant
440 N RIVER ST
WILKES BARRE, PA 18702
Occupational Therapist
440 N RIVER ST
WILKES BARRE, PA 18702

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 Riverstreet Center Opco LLC's NPI number?

The NPI number for Riverstreet Center Opco LLC is 1144815788. It was assigned to this organization in the NPPES registry on March 5, 2021.

Where is Riverstreet Center Opco LLC located?

Riverstreet Center Opco LLC is located at 440 N River St, Wilkes Barre, PA 18702. The listed phone number is (570) 825-5611.

What is Riverstreet Center Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Riverstreet Center Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0897782) is associated with this NPI, valid through February 14, 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 Riverstreet Center Opco LLC was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.