Provider Demographics
NPI:1497544902
Name:RIVERVIEW LUTHERAN RETIREMENT COMMUNITY OF SPOKANE RIVERCARE
Entity type:Organization
Organization Name:RIVERVIEW LUTHERAN RETIREMENT COMMUNITY OF SPOKANE RIVERCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAPHNNEE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-482-8187
Mailing Address - Street 1:1801 E UPRIVER DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-5181
Mailing Address - Country:US
Mailing Address - Phone:509-483-6483
Mailing Address - Fax:
Practice Address - Street 1:2360 N STONE ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-5508
Practice Address - Country:US
Practice Address - Phone:509-483-6483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIVERVIEW LUTHERAN RETIREMENT COMMUNITY OF SPOKANE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based