MEDICARE: RIVERCHASE FL OPCO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care
2	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1427985670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERCHASE FL OPCO LLC

Provider Business Mailing Address
First Line	:	3512 QUENTIN RD STE 200
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4245
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1017 STRONG RD
Second Line	:
City	:	QUINCY
State	:	FL
Zip	:	32351-5249
Country	:	US
Telephone Number	:	850-875-3711
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED SIGNER
Name	:	ROBERT SCHOENFELD
Credential	:
Telephone Number	:	917-699-3048

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “RIVERCHASE FL OPCO LLC ” Practice Location

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