RIVERSIDE SENIOR LIVING
NPI 1376601997
Assisted Living Facility in Charles City, IA

Active since December 05, 2006CLIA 16D1032410 · Waiver
209 PARK DR, CHARLES CITY, IA 50616(641) 228-2800(641) 228-3886 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Riverside Senior Living NPPES

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

RIVERSIDE SENIOR LIVING (NPI 1376601997) is a healthcare organization registered as an assisted living facility in Charles City, Iowa and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists David F Ayers, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376601997
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRIVERSIDE SENIOR LIVING
Location Address209 PARK DRCharles City, IA 50616-1619
Mailing Address209 Park DriveCharles City, IA 50616 · (641) 228-2800 · Fax (641) 228-3886
Fax(641) 228-3886
Organization SubpartYesParent: Chautauqua Guest Homes, Inc.
Authorized OfficialDavid F AyersAdministrator · (641) 228-2800
Enumeration DateDecember 5, 2006
Last NPPES UpdateJune 16, 2008
NPI 1376601997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in IA · S0194
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
209 PARK DR, Charles City, IA 50616

Other Identifiers 1

Medicaid0473231IA

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 16D1032410

Riverside Senior Living · Charles City, IA
Active · expires Oct 21, 2026
CLIA Number16D1032410
Laboratory TypeOther
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorDavid F. Ayers
Laboratory Phone(641) 228-2800
Laboratory LocationRiverside Senior Living209 Park Drive, Charles City, IA 50616
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Senior Living's NPI number?

The NPI number for Riverside Senior Living is 1376601997. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Riverside Senior Living located?

Riverside Senior Living is located at 209 Park Dr, Charles City, IA 50616. The listed phone number is (641) 228-2800.

What is Riverside Senior Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Riverside Senior Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1032410) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Senior Living was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.