RIVER BEND ASSISTED LIVING
NPI 1831145986
Assisted Living Facility in Great Bend, KS

Active since May 26, 2006CLIA 17D0972573 · Waiver
3820 BROADWAY AVE, GREAT BEND, KS 67530(620) 792-7017 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About River Bend Assisted Living NPPES

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

RIVER BEND ASSISTED LIVING (NPI 1831145986) is a healthcare organization registered as an assisted living facility in Great Bend, Kansas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists James Reiker, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1831145986
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGREAT BEND HOMESTEAD ASSISTED LIVING, LLC
Location Address3820 BROADWAY AVEGreat Bend, KS 67530-3645
Mailing Address3820 Broadway AveGreat Bend, KS 67530-3645
Organization SubpartNo
Authorized OfficialJames ReikerTreasurer · (573) 471-1113
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1831145986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

3820 BROADWAY AVE, Great Bend, KS 67530

Other Names 1

Doing Business AsRiver Bend Assisted Living

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 17D0972573

River Bend Assisted Living · Great Bend, KS
Active · expires Apr 10, 2028
CLIA Number17D0972573
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorJamie Peters
Laboratory Phone(620) 792-7017
Laboratory LocationRiver Bend Assisted Living3820 Broadway, Great Bend, KS 67530
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

The NPI number assigned to this healthcare provider is 1831145986, enumerated as an "organization" on May 26, 2006.

The provider is located at 3820 BROADWAY AVE GREAT BEND, KS 67530 and the phone number is (620) 792-7017.

Assisted Living Facility with taxonomy code 310400000X.