RIVERSIDE LODGEM INC
NPI 1962784819
Assisted Living Facility in Grand Island, NE

Q: What is Riverside Lodgem Inc's NPI number?

The NPI number for Riverside Lodgem Inc is 1962784819. It was assigned to this organization in the NPPES registry on September 16, 2011.

Q: What is Riverside Lodgem Inc's specialty?

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

Active since September 16, 2011CLIA 28D0455773 · Waiver

404 WOODLAND DR, GRAND ISLAND, NE 68801(308) 382-1657(308) 381-1863 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Riverside Lodgem Inc NPPES

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

RIVERSIDE LODGEM INC (NPI 1962784819) is a healthcare organization registered as an assisted living facility in Grand Island, Nebraska and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Debra Friend, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1962784819

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameRIVERSIDE LODGEM INC

Location Address404 WOODLAND DRGrand Island, NE 68801-8906

Mailing Address404 Woodland DrGrand Island, NE 68801-8906 · (308) 382-1657 · Fax (308) 381-0433

Phone(308) 382-1657

Fax(308) 381-1863

Organization SubpartNo

Authorized OfficialDebra FriendExecutive Director · (308) 382-1657

Enumeration DateSeptember 16, 2011

✔ NPI 1962784819 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 NE · ALF148

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.

404 WOODLAND DR, Grand Island, NE 68801

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Other Identifiers 1

Medicaid=========-00NE

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 28D0455773

Riverside Lodge · Grand Island, NE

Active · expires Aug 31, 2026

CLIA Number28D0455773

Laboratory TypeOther

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorChristi Tuxhorn-Olson

Laboratory Phone(308) 382-1657

Laboratory LocationRiverside Lodge404 Woodland Dr, Grand Island, NE 68801

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 Lodgem Inc's NPI number?

The NPI number for Riverside Lodgem Inc is 1962784819. It was assigned to this organization in the NPPES registry on September 16, 2011.

Where is Riverside Lodgem Inc located?

Riverside Lodgem Inc is located at 404 Woodland Dr, Grand Island, NE 68801. The listed phone number is (308) 382-1657.

What is Riverside Lodgem Inc's specialty?

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

Does Riverside Lodgem Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0455773) is associated with this NPI, valid through August 31, 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 Lodgem Inc was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.