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RIVIERA ASSISTED LIVING RESIDENCES
NPI 1518368372
Assisted Living Facility in Holly Hill, FL

Active since September 11, 2014CLIA 10D2132113 · Waiver
1825 RIDGEWOOD AVE, HOLLY HILL, FL 32117(386) 677-5000 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 6, 2021, Aug 4, 2020 (2 updates tracked since 2020).

About Riviera Assisted Living Residences NPPES

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

RIVIERA ASSISTED LIVING RESIDENCES (NPI 1518368372) is a healthcare organization registered as an assisted living facility in Holly Hill, Florida and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Jennifer F. Mintzer, President & Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1518368372
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH SE HOLLY HILL TENANT, LLC
Location Address1825 RIDGEWOOD AVEHolly Hill, FL 32117-1737
Mailing Address255 Washington StNewton, MA 02458-1637 · (617) 796-8350
Phone(386) 677-5000
Organization SubpartYes
Authorized OfficialJennifer F. MintzerPresident & Chief Operating Officer · (617) 796-8350
Enumeration DateSeptember 11, 2014
Last NPPES UpdateApril 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1518368372 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 FL · 9473
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.
1825 RIDGEWOOD AVE, Holly Hill, FL 32117
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Other Names 1

Doing Business AsRiviera Assisted Living Residences

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 10D2132113

Riviera Assisted Living Residences · Holly Hill, FL
Active · expires Nov 12, 2026
CLIA Number10D2132113
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorMarilyn Cameron
Laboratory Phone(386) 677-5000
Laboratory LocationRiviera Assisted Living Residences1825 Ridgewood Avenue, Holly Hill, FL 32117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.
Clinic/Center (Physical Therapy)
1825 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Volusia County (386) 677-5000
MARGARITA REEKIE PTA
Physical Therapy Assistant
1825 RIDGEWOOD AVE
HOLLY HILL, FL 32117
Volusia County (386) 492-7812

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 Snh SE Holly Hill Tenant, LLC's NPI number?

The NPI number for Snh SE Holly Hill Tenant, LLC is 1518368372. It was assigned to this organization in the NPPES registry on September 11, 2014. The provider is doing business as Riviera Assisted Living Residences.

Where is Snh SE Holly Hill Tenant, LLC located?

Snh SE Holly Hill Tenant, LLC is located at 1825 Ridgewood Ave, Holly Hill, FL 32117. The listed phone number is (386) 677-5000.

What is Snh SE Holly Hill Tenant, LLC's specialty?

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

Does Snh SE Holly Hill Tenant, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2132113) is associated with this NPI, valid through November 12, 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 Snh SE Holly Hill Tenant, LLC was last updated on April 6, 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.