RIVERSIDE SERVICE GROUP INC
NPI 1346390796
Day Training, Developmentally Disabled Services in Idaho Falls, ID

Active since January 10, 2007
461 RIVER PKWY, IDAHO FALLS, ID 83402(208) 542-4517(208) 528-9501 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverside Service Group Inc NPPES

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

RIVERSIDE SERVICE GROUP INC (NPI 1346390796) is a healthcare organization registered as a day training, developmentally disabled services in Idaho Falls, Idaho and active in the NPI registry since January 2007. The organization lists Kathleen Ann Hansen, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1346390796
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameRIVERSIDE SERVICE GROUP INC
Location Address461 RIVER PKWYIdaho Falls, ID 83402-3314
Mailing Address3925 N Ammon RdIdaho Falls, ID 83401-1313 · (208) 521-6573 · Fax (208) 528-9501
Fax(208) 528-9501
Organization SubpartNo
Authorized OfficialKathleen Ann HansenPresident Ceo · (208) 521-6573
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJune 25, 2010
NPI 1346390796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code251C00000X
License Licensed in ID · 805608500
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 807612600 (ID)
461 RIVER PKWY, Idaho Falls, ID 83402

Other Identifiers 2

Medicaid807612600ID
Medicaid805608500ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Riverside Service Group Inc's NPI number?

The NPI number for Riverside Service Group Inc is 1346390796. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Riverside Service Group Inc located?

Riverside Service Group Inc is located at 461 River Pkwy, Idaho Falls, ID 83402. The listed phone number is (208) 542-4517.

What is Riverside Service Group Inc's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Riverside Service Group Inc was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.