Healthcare Provider Details

I. General information

NPI: 1023922671
Provider Name (Legal Business Name): RIVERSTONE NURSING & REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4422 RIVERSTONE BLVD
MISSOURI CITY TX
77459-7150
US

IV. Provider business mailing address

3818 OAKTON ST
SKOKIE IL
60076-3430
US

V. Phone/Fax

Practice location:
  • Phone: 281-499-5040
  • Fax:
Mailing address:
  • Phone: 281-499-5040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AHARON SHKOP
Title or Position: MANAGER
Credential:
Phone: 281-499-5040