RIVERSIDE COMMUNITY CARE
NPI 1174907000
Community/Behavioral Health in Somerville, MA
About Riverside Community Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVERSIDE COMMUNITY CARE (NPI 1174907000) is a healthcare organization registered as a community/behavioral health in Somerville, Massachusetts and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Jacqueline Marie Fickes, Intensive Care Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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 22D2292111
Riverside Community Care, Inc · Somerville, MAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOMERVILLE, MA 02143
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174907000, enumerated as an "organization" on July 09, 2015.
The provider is located at 12 TYLER ST SOMERVILLE, MA 02143 and the phone number is (781) 364-0940.
Community/Behavioral Health with taxonomy code 251S00000X.
