MEDICARE: RIVERSIDE LANDING NURSING AND REHABILITATION, INC.

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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	1595	OH
2	314000000X	Skilled Nursing Facility	1595N	OH

General Provider Information

NPI Number	:	1528062882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERSIDE LANDING NURSING AND REHABILITATION, INC.

Provider Business Mailing Address
First Line	:	2875 CENTER RD STE 6
Second Line	:
City	:	BRUNSWICK
State	:	OH
Zip	:	44212-2319
Country	:	US
Telephone Number	:	216-772-1105
Fax Number	:

Provider Business Practice Location Address
First Line	:	856 S RIVERSIDE DR
Second Line	:
City	:	MC CONNELSVILLE
State	:	OH
Zip	:	43756-9102
Country	:	US
Telephone Number	:	740-962-5303
Fax Number	:	740-962-6843

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BENJAMIN J PARSONS
Credential	:
Telephone Number	:	216-727-3996

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	04/02/2025

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