Healthcare Provider Details

I. General information

NPI: 1659504991
Provider Name (Legal Business Name): RIVERSIDE HEALTHCARE & WELLNESS CENTRE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9020 GARFIELD ST
RIVERSIDE CA
92503-3903
US

IV. Provider business mailing address

9020 GARFIELD ST
RIVERSIDE CA
92503-3903
US

V. Phone/Fax

Practice location:
  • Phone: 951-688-8200
  • Fax: 951-353-2450
Mailing address:
  • Phone: 951-688-8200
  • Fax: 951-353-2450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: SHLOMO RECHNITZ
Title or Position: MANAGER
Credential:
Phone: 626-800-1191